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目的分析66例急性有机磷中毒(AOPP)病例的电解质及临床治疗资料,探讨避免外源性因素加重电解质紊乱及治疗方法。方法对66例AOPP患者的电解质进行回顾性分析;66例患者均给予适量的补钾,补钠治疗。结果 66例患者中56例(85%)存在不同程度的血钾异常,低钠血症21例(32%),低氯血症27例(41%),心电图异常43例其中U波出现11例,AOPP时的电解质紊乱多为低钾血症,低钠血症,低氯血症。给予及时补充促进了病情康复。死亡3例,均合并低钾血症的存在。结论 AOPP时易并发电解质紊乱,临床应及时预防和纠正。
Objective To analyze the electrolytes and clinical data of 66 patients with acute organophosphorus poisoning (AOPP), and to explore ways to avoid electrolyte exacerbation and treatment. Methods 66 cases of AOPP electrolyte were retrospectively analyzed; 66 patients were given adequate potassium and sodium supplementation. Results 56 cases (85%) of 66 patients had different degrees of serum potassium abnormality, 21 cases (32%) of hyponatremia, 27 cases (41%) of hypochlorosis, 43 cases of abnormal electrocardiogram (U wave) Cases, AOPP electrolyte disorders are mostly hypokalemia, hyponatremia, hyponatremia. Give timely replenishment to promote the rehabilitation of the disease. 3 died, both with hypokalemia. Conclusions AOPP prone to electrolyte imbalance, clinical should be timely prevention and correction.