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临床资料 1978年至1987年本院收治急性有机磷农药中毒452例,其中60岁以上老年人14例,占3.1%.中毒量:1～5ml8例,6～10ml3例,10～15ml3例.本组除有机磷中毒一般表现外,还有心律失常3例,血压异常5例,呼吸困难8例,意识模糊4例,昏迷6例.根据《实用内科学》标准分类:轻度中毒2例,中度2例,重度10例.经常规处理治疗后,痊愈10例,死亡4例.讨论 (1)老年人有机磷中毒虽较少见,但病情多危重.(2)老年人耐受性差一般在口服农药15ml 以下即可引起中毒.(3)临床上常以意识障碍为主要或早期表现.(4)中毒时对阿托品
Clinical data From 1978 to 1987, 452 cases of acute organophosphorus pesticide poisoning were admitted to our hospital, of which 14 cases were older than 60 years old, accounting for 3.1%. The poisoning volume was 1 ~ 5ml in 8 cases, 6 ~ 10ml in 3 cases and 10 ~ 15ml in 3 cases. In addition to the general performance of organophosphate poisoning, there are 3 cases of arrhythmia, 5 cases of abnormal blood pressure, dyspnea in 8 cases, confusion in 4 cases, coma in 6. According to the “Practical Internal Medicine” standard classification: mild poisoning in 2 cases, Moderate in 2 cases and severe in 10 cases.After routine treatment, 10 cases were cured and 4 cases died.Discussion (1) Although organophosphate poisoning is rare in the elderly, the condition is more serious. (2) The elderly are poorly tolerated Usually 15ml oral pesticide can cause poisoning. (3) clinical often disturbance of consciousness as the main or early manifestation. (4) when poisoning atropine