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当前在各类急性中毒中,发生率及死亡人数均以有机磷农药中毒为最高。随着近年来急性有机磷中毒防治知识的普及和诊疗水平的提高,对一般病例进行诊断和治疗困难不大。但对某些重症或被误诊误治的患者,特别是经口误服的严重中毒患者使用了相当剂量的阿托品之后,未收到预期效果,甚至病情反有恶化,或者一度好转后又恶化者,情况就比较复杂,往往需要迅速判明是用药剂量不足,有机磷中毒未被控制,还是剂量过大,造成了阿托品中毒。在某些情况下,鉴别往往有一定的困难,
Currently in all kinds of acute poisoning, the incidence and death toll are the highest organophosphorus pesticide poisoning. With the popularization of acute prevention and control of organophosphate poisoning and the improvement of diagnosis and treatment in recent years, it is not difficult to diagnose and treat the common cases. However, some seriously ill or misdiagnosed patients, especially those with severe poisoning after oral administration of a dose of atropine, did not receive the expected results, and even worse if the condition deteriorated, or once improved and then deteriorated, The situation is more complicated, often need to quickly determine the lack of dosage, organophosphate poisoning is not controlled, or overdose, resulting in atropine poisoning. In some cases, identification often has some difficulties,