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目的研究分析急性有机磷农药中毒合并甲亢危象有效的临床抢救急救措施,为日后急性有机磷农药中毒合并甲亢危象抢救工作提供更多依据。方法对2014年1月至2015年11月期间于我院进行治疗的急性有机磷农药中毒合并甲亢危象患者3例进行回顾性分析。结果在对急性有机磷农药中毒合并甲亢危象患者采取相应的措施进行治疗后,患者生命体征逐渐稳定,甲状腺激素各项指标正常,所有患者在治疗后均康复出院。结论在发生急性有机磷农药中毒时,甲亢危象症状不容易被检查出来,容易被急性有机磷农药中毒的症状所掩盖,导致出现了误诊、漏诊的情况。通过结合病史、询问及对急性有机磷农药中毒患者的甲状腺激素各项指标进行观察和分析,提高急性有机磷农药中毒合并甲亢危象的临床确诊率。
Objective To study the emergency rescue measures of acute organophosphorus pesticide poisoning combined with crisis of hyperthyroidism and to provide more evidences for the rescue of acute organophosphorus pesticide poisoning combined with crisis of hyperthyroidism in the future. Methods A retrospective analysis of 3 patients with acute organophosphorus pesticide poisoning and hyperthyroidism crisis treated in our hospital from January 2014 to November 2015 was performed. Results Acute organophosphorus pesticide poisoning patients with hyperthyroidism crisis take appropriate measures for treatment, the patient’s vital signs gradually stabilized, thyroid hormone indicators normal, all patients were discharged after treatment. Conclusions In acute organophosphorus pesticide poisoning, symptoms of hyperthyroidism crisis are not easily detected and easily masked by the symptoms of acute organophosphorus pesticide poisoning, leading to misdiagnosis and missed diagnosis. By combining the medical history, asking and analyzing the indicators of thyroid hormone in patients with acute organophosphorus pesticide poisoning, the clinical diagnosis rate of acute organophosphorus pesticide poisoning combined with hyperthyroidism crisis was improved.