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一、抢救有机磷农药中毒时,阿托品的应用以达到阿托品化为原则。每个患者达到阿托品化的用量悬殊很大,没有一个固定的用量数据作为遵循。因此在临床应用中,必须密切观察病情,根据具体病情随时调整用量,使患者迅速达到阿托品化,但又不出现阿托品中毒。在阿托品化的表现基础上,患者燥动不安加重、谵妄、抓空、抽搐、高烧、尿潴留及腹部气胀等,说明已出现阿托品中毒。若阿托品中毒继续加重,则可由兴奋转入抑制,出现昏迷、呼吸麻痹等。阿托品化时阿托品的剂量已接近中毒量,当达到阿托品化后,应根据病情及时延长间隔时间或适当减量维持。二、在抢救有机磷农药中毒中,要注意
First, the rescue of organophosphorus pesticide poisoning, the application of atropine to achieve the principle of atropine. The amount of atropine used in each patient varies greatly, with no fixed amount of data to follow. Therefore, in clinical applications, we must closely observe the condition, according to the specific condition at any time to adjust the dosage, so that patients quickly achieve atropine, but does not appear atropine poisoning. On the basis of the performance of atropine, patients with agitation aggravated, delirium, seized the air, convulsions, fever, urinary retention and abdominal bloating, indicating that atropine poisoning has occurred. If atropine poisoning continues to aggravate, you can switch from excitement to inhibition, coma, respiratory paralysis and so on. Atropine when the dose of atropine is close to the amount of poisoning, when reached after atropine, should be based on the disease in time to extend the interval or appropriate reduction maintenance. Second, salvage organophosphorus pesticide poisoning, pay attention