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对大批有机磷农药中毒病人83例急诊措施进行分析,其中中度病人18例,其余为轻度中毒。均为进食市售喷有有机磷农药的蔬菜所致,经过急诊抢救全部病人治愈。其中轻度中毒者均于出现中毒并经治疗观察24h内出院,中度中毒中10例在发病后24~36h内出院,其余6例相继在36~96h内出院,另2例因中毒前患有其他疾病而需继续治疗;第一批在入院后10min内迅速作出初步诊断,并随意抽查5例病人快速测定胆碱酯酶活力,约在20min后得出活力值均在40%~50%之间,明确了诊断(并与防疫站抽样检查结果相吻合);全部病人均在入院后10min内得到催吐、洗胃、输液利尿及注射特效复合解毒剂;认为快速的诊断和有效的综合治疗是抢救急性有机磷农药中毒的重要措施;统一指挥,人员充足,分工合作,密切配合,忙而不乱是抢救大批中毒病人成功的关键。
A large number of 83 cases of organophosphate pesticide poisoning patients emergency measures were analyzed, of which 18 cases of moderate patients, the rest were mild poisoning. All are caused by eating vegetables sprayed with organophosphorus pesticides, emergency treatment after all patients were cured. Among them mild poisoning were poisoned and were discharged within 24 hours after treatment. Ten cases of moderate poisoning were discharged within 24-36 hours after the onset of disease. The remaining six cases were discharged within 36-96 hours and the other two cases were poisoned There are other diseases need to continue treatment; the first batch of 10min after admission to make a preliminary diagnosis quickly and randomly selected 5 patients rapid determination of cholinesterase activity, about 20min after the vitality values ?? were 40% to 50% (With epidemic prevention station sampling test results coincide); all patients were given within 10min after admission vomiting, gastric lavage, infusion of diuretic and injection of special antidote compound; that the rapid diagnosis and effective comprehensive treatment Is to rescue acute organophosphorus pesticide poisoning an important measure; unified command, adequate personnel, division of labor cooperation, close cooperation, busy and chaos is the key to the success of a large number of poisoned patients.