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1989年以来,我们对口服有机磷农药中重度中毒64例患者(治疗组)早期输注5％碳酸氢钠与以前的51例(对照组)相比,能较早阿托品化,减少阿托品用量,降低病死率。现报告如下。 1 诊断标准及病例选择 有机磷中毒分度标准及阿托品化标准均参照全国高等医药院校试用教材《内科学》标准。为便于比较,全部病例的服毒量及服毒至就诊时间较明确,达中重度中毒标准,且首次就诊者,不达上述标准或在其它医院抢救后转本院者均不列入。
Since 1989, early infusion of 5% sodium bicarbonate in 64 patients with moderate to severe organophosphate pesticide poisoning (treatment group) compared with the previous 51 cases (control group), we can earlier atropine, reduce the amount of atropine, Reduce mortality. The report is as follows. 1 diagnostic criteria and case selection Organophosphorus poisoning index and atropine standard refer to the national medical colleges and universities teaching materials “internal medicine” standard. For ease of comparison, all cases of poisoning and poisoning to the treatment time is more clear, up to moderate and severe poisoning standards, and the first visit, do not meet the above criteria or in other hospitals after the transfer to the hospital are not included.