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笔者遇到1例因口服敌敌畏(DDV)引起血胆硷酯酶功能发生持久性衰竭而致死者,现报告如下: 女患,24岁,某厂工人,住院号138644。因家庭纠纷空腹自服80%DDV40ml 1小时后,出现明显有机磷中毒症状和体征而住院抢救。入院后经洗胃、导泻和迅速阿托品化(第一小时共用阿托品90mg),中毒危象得以控制。届后继续应用阿托品和解磷定等药,96小时内共用阿托品1260mg,解磷定14.5克。此期间曾因阿托品减量过速或过大发生过3次中毒“反跳现象”,均经及时追加阿托品用量而消失。直至第五天,患者中
I met one case of oral dichlorvos (DDV) caused by blood cholinesterase function of persistent failure and death, are reported as follows: Female, 24 years old, a factory worker, hospital number 138644. Due to family disputes fasting self-service 80% DDV40ml 1 hour after the obvious symptoms and signs of organophosphate poisoning hospitalized. After admission by gastric lavage, catharsis and rapid atropine (the first hour sharing atropine 90mg), poisoning crisis can be controlled. Continued application of atropine and other drugs will be resolved afterwards, 96 hours sharing atropine 1260mg, phosphorus determination of 14.5 grams. During this period had atropine reduction overshoot or overshooting occurred 3 poisoning “rebound phenomenon”, are appending atropine in time and disappear. Until the fifth day in the patient