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1.一般资料本组4例,男1例,女3例。年龄最大42岁,最小19岁,均为经口急性有机磷农药中毒。24小时内阿托品总用量最多3012mg,最少1214mg,平均总用量2004mg。阿托品中毒发生时间最快为就诊后6.5小时,最迟为就诊后23小时,平均14.2小时。 2.临床表现本组4例均出现尿潴留,体温≥40℃,心率≥150次/分,瞳孔散大近边缘,昏迷状态。出现抽搐,口唇及四肢指端紫绀,眼球结膜水肿。2例出现心率失常,心衰,呼衰及脑水肿等症状。
1. General Information The group of 4 patients, 1 males and 3 females. The oldest 42 years old, minimum 19 years old, are oral acute organophosphorus pesticide poisoning. Within 24 hours the total amount of atropine up to 3012mg, at least 1214mg, the average total amount of 2004mg. Atropine poisoning occurred the fastest 6.5 hours after treatment, at the latest 23 hours after treatment, an average of 14.2 hours. 2. Clinical manifestations of 4 cases were urinary retention, body temperature ≥ 40 ℃, heart rate ≥ 150 beats / min, mydriasis near the edge, coma. Twitching, lips and limbs cyanosis, conjunctival edema. 2 cases of arrhythmia, heart failure, respiratory failure and cerebral edema and other symptoms.