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抢救有机磷中毒,阿托品化后病情好转,过早停药或减量过多致反跳死亡的病例时有发生。本院近年遇到5例,现报道如下。例1:男,21岁。自服敌敌畏约20ml,30分钟后入院,表现呼吸急促,大汗淋漓,脉细弱,两瞳孔缩小约1毫米。即给洗胃,阿托品29mg,每10分钟静注一次,静滴解磷定。2小时达阿托品化,逐渐减量维持治疗4天,病情稳定出院。16小时后反跳再次来院,给用阿托品、解磷定等治疗无效,病情渐加重死亡。例2:女,18岁。服敌敌畏约30ml,20分钟后入院。查体:口吐白沫,面肌颤动,
Rescue of organophosphate poisoning, atropine after the condition improved, premature withdrawal or excessive rebound death caused by cases of repeated occurrence. In our hospital in recent years, 5 cases are reported as follows. Example 1: Male, 21 years old. Self-serving dichlorvos about 20ml, 30 minutes after admission, the performance of shortness of breath, sweating, weak pulse, the two pupils shrink about 1 mm. That is to gastric lavage, atropine 29mg, intravenously every 10 minutes, intravenous drip solution. 2 hours Daluotuification, gradually reducing the maintenance of treatment for 4 days, stable condition and discharged. After 16 hours rebound again to the hospital, to use atropine, phosphate and other treatment ineffective, the disease gradually increased death. Example 2: Female, 18 years old. Serving DDVP about 30ml, 20 minutes after admission. Physical examination: foaming at the mouth, facial fibrillation,