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在急性有机磷农药中毒的抢救中,阿托品化的判断非常重要,由于对阿托品化指标的认识尚不一致,常有时不易掌握,我们对63例中、重度有机磷中毒患者达阿托品化时的各项指标进行分析、探讨如下。一般资料本组63例,男27例,女36例,年龄3～33岁,乐果中毒18例,1605中毒18例,敌敌畏中毒9例,甲胺磷中毒18例,中度中毒45例,重度18例。综合判断达阿托品化时的各项指标:瞳孔散大不再缩小(直径>4毫米)63例;皮肤干燥63例,面部潮红59例(94%);肺部啰音消失58例(92%),肺啰音显著减少5例(8%);稍有不安、轻微躁动46例(73%);意识障碍未由昏迷转清醒2例(11%);心率增快在90次/分以上者56例(89%),心率未达90次/分以上者7例(11%),用阿托品后在未达阿托品化前心率增快者45例(71%)。讨论
In the rescue of acute organophosphorus pesticide poisoning, the judgment of atropine is very important. Because of the inconsistent understanding of the indicators of atropine, and often not easy to grasp, we have 63 cases of moderate and severe organophosphate poisoning, Indicators for analysis, discussed below. General information The group of 63 cases, 27 males and 36 females, aged 3 to 33 years old, 18 cases of dimethoate poisoning, 18 cases of 1605 poisoning, dichlorvos poisoning in 9 cases, methamidophos poisoning in 18 cases, moderate poisoning in 45 cases, Severe in 18 cases. 63 cases of dry skin, facial flushing in 59 cases (94%); pulmonary rales disappeared in 58 cases (92%), ), Pulmonary rales significantly reduced in 5 cases (8%); slightly disturbed, mild restlessness in 46 cases (73%); unconscious unconscious consciousness in 2 cases (11%); heart rate increased at 90 beats / min Sixty-five patients (71%) had heart rate 56% (89%), heart rate less than 90 beats / minute (7%), and 11% before atropine administration. discuss