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有机磷农药中毒患者使用阿托品解毒常需达到“阿托品化”。所谓阿托品化,是要求患者在使用一定剂量的阿托品后达到面色潮红,腺体分泌减少,瞳孔散大,心率加快,尿潴留及轻度烦燥等现象。但在实际观察时,常因干扰和假象因素使得阿托品化的指标不典型,造成判断失误,招致阿托品用量不足或阿托品过量中毒。故临床上须加以排除干扰和识别假象。即具体观察阿托品化时应注意下列几项:
Patients with organophosphate pesticide poisoning often need to achieve atropine detoxification. The so-called atropinization, is to require patients to use a certain dose of atropine to achieve the appearance of flushing, reduced glandular secretion, mydriasis, accelerated heart rate, urinary retention and mild irritability and so on. However, the actual observation, often due to interference and artifacts of atropinization of the indicators makes the atypical, resulting in misjudgment, resulting in insufficient consumption of atropine or atropine overdose. It is necessary to be excluded from the clinical interference and identify the illusion. Specifically observed atropine should pay attention to the following items: