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目的回顾性分析急性职业性农药中毒患者的临床资料,探讨急性职业性农药中毒的特点。方法采用统一的调查表调查11家医院2008—2010年急性农药中毒患者,并对其临床资料进行分析。结果 311例急性职业性中毒患者以青壮年多见,病死率为6.75%,中毒农药以甲胺磷、对硫磷和敌敌畏等有机磷农药为主,常见并发症有脑水肿、肺水肿、肝损害等。结论急性职业性农药中毒危害严重,应加强宣传教育工作,加强农药管理工作,加强低毒、高效农药的研究开发和推广使用,提高基层医院救治农药中毒的医疗水平。
Objective To retrospectively analyze the clinical data of acute occupational pesticide poisoning patients and explore the characteristics of acute occupational pesticide poisoning. Methods A unified questionnaire was used to investigate the acute pesticide poisoning in 11 hospitals from 2008 to 2010 and the clinical data were analyzed. Results A total of 311 acute occupational poisoning patients were more common in young and middle-aged children, with a case fatality rate of 6.75%. The main pesticides were metphos-methyl, parathion and dichlorvos, and other organophosphorus pesticides. The common complications were cerebral edema, pulmonary edema, liver Damage and so on. Conclusion Acute occupational pesticide poisoning is seriously detrimental. Publicity and education work should be stepped up, pesticide management should be strengthened, research and development, promotion and use of low-toxic and high-efficiency pesticides should be strengthened, and the medical care level of treating and treating pesticide poisoning in primary-level hospitals should be improved.