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1.临床资料 男2例,女5例。年龄8～36岁(其中12岁以下4例)。口服药物种类;敌敌畏6例,安眠药1例。口服药物剂量:敌敌畏最多者150ml,少者1Oml。服药距就诊时间:长者达1.5小时,短者0.5小时。服药与饮食关系:饭后者5例,空服者2例。诊断;按卫生部1974年公布《有机磷农药中毒的诊断标准与治疗原则》。 洗胃方法;在患者神经生理反射存在的状态下置胃管(管径粗细不限),用注气试验调整胃管长度至胃幽门部。用5～6支100ml注射器抽取清水(水温15～25℃±)轮流加压经胃管注入胃内,使胃壁受到激射水流的冲刷,并迅速扩张。根据各患者个体对胃扩张的耐受程度的不同(1500～4500ml),患者均自行产生呕吐,呈喷射状吐出胃内容物,此后,以上法反复冲洗至胃内容物无色无味为止,用水量约在15000～35000ml不定。
1 clinical data of 2 males and 5 females. Aged 8 to 36 years old (including 12 cases under 4 years old). Oral drug categories; dichlorvos in 6 cases, sleeping pills in 1 case. Oral drug dose: up to 150ml dichlorvos, less 1Oml. Medication from the treatment time: the elderly up to 1.5 hours, a short 0.5 hours. Medication and diet: meal in 5 cases, 2 cases of flight attendants. Diagnosis; according to the Ministry of Health announced in 1974 “organophosphorus pesticide poisoning diagnostic criteria and treatment principles.” Gastric lavage method; in the presence of patients with neurophysiological reflex stomach (diameter of any size), with gas injection test to adjust the length of the stomach to the pylorus of the stomach. With 5 ~ 6 100ml syringe pumping water (water temperature 15 ~ 25 ℃ ±) by the rotation of the gastric tube into the stomach, the gastric wall by lasing water flow erosion, and rapid expansion. According to the patient’s individual tolerance to the expansion of the stomach (1500 ~ 4500ml), patients have their own vomiting, spit out the contents of the stomach, then the above method repeatedly washed until the contents of the stomach colorless and odorless, the amount of water About 15000 ~ 35000ml uncertain.