论文部分内容阅读
我们在临床工作中发现,凡用阿托品作解毒剂抢救口服毒物中毒的病人,不管用否泻药导泻,在24小时之内均未见到排便者.于是我们选择1987年1月至1988年10月间,经急诊室抢救后转入病房的所有口服有机磷农药中毒的患者.进行24小时观察,共33例,其中3911农药中毒12例,敌敌畏9例.乐果和1605各5例,敌百虫和锌硫磷各1例。口服量(均为原液)最多50ml,最少10ml,不详者14例。第一个24小时用阿托品量最多2100ml,最少10ml,平均245 ml.治愈29例,死亡4例.具体作法是:患者到急诊室后,立即用上海产XW—80B 型洗胃机以温清水洗胃,同时用阿托品和胆硷酯酶复活剂.洗净后即用硫酸镁粉30g 溶于
We found in clinical practice, where the use of atropine as an antidote to rescue oral poisoning patients, regardless of laxatives catharsis, have not seen in 24 hours of defecation. So we choose January 1987 to 1988 10 Month, the emergency room after the rescue into the ward of all patients with oral organophosphorus pesticide poisoning for 24 hours observation, a total of 33 cases, of which 3911 pesticide poisoning in 12 cases, dichlorvos in 9 cases. Each worm and zinc and phosphorus in 1 case. Oral volume (both stock solution) up to 50ml, at least 10ml, unknown in 14 cases. The first 24 hours with atropine up to 2100ml, at least 10ml, an average of 245 ml cured 29 cases, 4 cases of death.The specific practice is: patients to the emergency room, immediately with Shanghai-made XW-80B-type gastric lavage to warm water Gastric lavage, at the same time with atropine and cholinesterase resurrection agent. After washing with magnesium sulfate powder 30g dissolved