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有机磷农药中毒抢救是否合理将关系到病人生命能否挽救。现结合我们的经验及教训来介绍本病合理抢救的体会。对服毒量大,来院及时,中毒表现暂时不重者应按重度中毒抢救。26岁女患,空腹服敌敌畏300ml 后15min就诊.当时呈轻度中毒表现。即给予15000ml温水洗胃.解磷定0.5iv.1.0静脉滴注。阿托品首剂30mg iv,后改为20mg iv 每10min 一次。吸氧。服毒约1h 后出现肌束震颤。诊断急性中度有机磷农药中毒。抢救8h 稳定后入院,住院3d痊愈出院.
Organophosphorus pesticide poisoning rescue is related to the patient’s life can be saved. Now combined with our experience and lessons to introduce a reasonable rescue of the disease experience. On the large amount of poisoning, to the hospital in a timely manner, the performance of poisoning temporarily should not be severe poisoning rescue. 26-year-old female patient, served on an empty stomach after serving 300ml of dichlorvos 15min was mild poisoning performance. That is given 15000ml warm water gastric lavage. Phosphorus dissolved 0.5iv.1.0 intravenous drip. Atropine first dose of 30mg iv, later changed to 20mg iv once every 10min. Oxygen. Muscle bundle tremor appears after about 1h poisoning. Diagnosis of acute moderate organophosphorus pesticide poisoning. Rescue 8h stable after admission, hospitalized 3 d discharged.