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概况及结果 325例皆系1977—1983年间县医院收治病人,其中男138例、女187例。年龄4～72岁。结局:治愈309人(95％),死亡16人(4.9％)。中毒物、死因见附表。其中有机磷农药中毒占第一位(92例、28.3％),尤以乐果中毒(44例)最多,其余依次为磷化锌、卤碱、镇静药。小儿组则以马桑果中毒居首位。讨论一、诊断探讨:本组有机磷农药中毒误诊5例,究其原因:①瞳孔观察失误。瞳孔缩小虽为有机磷中毒的特异性体征,但轻度中毒瞳孔正常者约占25％,危重病人,尤其是口服者瞳孔可能正常,甚
Overview and Results All 325 cases were admitted to the county hospital from 1977 to 1983, including 138 males and 187 females. Age 4 to 72 years old. Outcome: 309 (95%) were cured and 16 (4.9%) were dead. Poison, the cause of death see the attached table. Organophosphorus pesticide poisoning accounted for the first place (92 cases, 28.3%), especially dimethoate poisoning (44 cases) the most, followed by zinc phosphide, alkali, sedatives. Pediatric group is the top priority to the mulberry fruit poisoning. Discussion First, the diagnosis of: the group of organophosphate pesticide misdiagnosis in 5 cases, the reason: ① pupil observation errors. Although the pupil shrinkage is a specific organophosphate poisoning signs, but mild poisoning about 25% of normal pupils, critically ill patients, especially oral pupil may be normal, and even