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我院近来采用切开洗胃,抢救口服大剂量敌敌畏(DDVP)中毒2例。一例口服DDVP200余ml,昏迷半小时入院,在入院后1小时,局麻下行剖腹切开洗胃,彻底清除胃内容物,痊愈出院,另一例口服DDVP300ml约20分钟入院,检查时即发生呼吸骤停,复苏后经大量清水洗胃及使用大剂量阿托品。入院后5小时,发现胃内物微浑,DDVP气味似明显,立即进行切开洗胃,术中见胃壁明显收缩,皱襞处仍可见略呈乳白色的DDVP液,尽管使用了大剂量阿托品,解磷定,胆硷脂酶仍不恢复,说明仍有DDVP从肠道继续吸收。术后一度好转,但入院后第5天,最终抢救无效死亡。
In recent years, our hospital used incision lavage to rescue large doses of oral dichlorvos (DDVP) poisoning in 2 cases. One case of DDVP200 oral more than 100 ml, coma for half an hour admitted to the hospital 1 hour after admission, local anesthesia laparotomy incision laparoscopic radical removal of gastric contents, discharged from hospital, another case of oral DDVP300ml about 20 minutes admission, Stop, recover after a lot of clean water gastric lavage and the use of large doses of atropine. 5 hours after admission, it was found that the stomach contents were slightly muddy and the DDVP smell was obvious. Immediate incision and gastric lavage were observed. The stomach wall was obviously shrunk during surgery. The DDVP solution was still slightly milky at the folds. Although a large dose of atropine was used, Phosphorus, cholinesterase still does not recover, indicating that there is still DDVP continue to be absorbed from the intestine. After a period of improvement, but the first 5 days after admission, the final rescue invalid death.