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我科自1994年1月—1998年3月,共收治婴幼儿急性有机磷农药中毒9例,全部被地方医院误诊,误诊率达100％。为吸取教训,提高对婴幼儿有机磷农药中毒的警惕性,现将本组误诊病例作一总结分析。 1 临床资料 1.1 一般资料 本组患儿男4例,女5例,年龄最小70d,最大3岁,平均年龄1.9岁。其中轻度中毒3例,中度中毒6例。单独经呼吸道吸人中毒者2例;单独经皮肤接触中毒者3例;呼吸道加皮肤中毒者4例。误诊为肺炎合并心肌炎者2例;误诊为肺炎合并胃肠炎者4例;误诊为急性胃肠炎者3例。误诊时间最短者10h,最长者24h。
Our department from January 1994 to March 1998, treated a total of 9 cases of acute organophosphorus pesticide poisoning in infants and young children, all misdiagnosed by the local hospital, misdiagnosis rate of 100%. In order to learn the lesson and raise the vigilance of organophosphorus pesticide poisoning in infants and young children, we will make a summary analysis of misdiagnosed cases in this group. 1 Clinical data 1.1 General Information The group of 4 males and 5 females, the youngest 70d, maximum 3 years old, mean age 1.9 years. Among them mild poisoning in 3 cases, moderate poisoning in 6 cases. Inhalation alone by inhalation poisoning in 2 cases; alone by skin contact poisoning in 3 cases; respiratory plus skin poisoning in 4 cases. Misdiagnosed as pneumonia with myocarditis in 2 cases; misdiagnosed as pneumonia with gastroenteritis in 4 cases; misdiagnosed as acute gastroenteritis in 3 cases. Misdiagnosis of the shortest 10h, the longest 24 hours.