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探讨有机磷中毒恢复期反跳与猝死的原因,对于提高有机磷中毒的抢救成功率,具有重要意义。一般认为,组织内尤其肝内储存的毒物被氧化为毒性更强的氧化物,后者在肠道内被重吸收,是反跳与猝死的主要原因。也有人认为猝死与脑水肿、窒息、心肌病变、心律失常及低钾等有关;陈氏等发现乐果中毒引起心肌损害与室性早搏,并提出抢救有机磷中毒时应注意保护心肌和处理心律失常。笔者曾
To investigate the reason of rebound and sudden death in recovery period of organophosphate poisoning is of great significance to improve the success rate of rescue of organophosphate poisoning. It is generally believed that, in particular, poisons stored within the liver are oxidized to more toxic oxides, which are reabsorbed in the gut and are the main cause of rebound and sudden death. Some people think that sudden death and brain edema, asphyxia, cardiomyopathy, arrhythmia and hypokalemia; Chen et al found that dimethoate poisoning caused by myocardial damage and ventricular premature beats, and proposed rescue organophosphate poisoning should pay attention to protect the heart and heart rate Disorders. I had