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近年来我们误诊了5例有机磷农药中毒(系指第一次错误诊断),兹将误诊原因作一浅析。(1) 病史问不清:由于患儿及其家长不了解有机磷农药涂洒内衣或头发灭虱也会招致中毒,故不能主动向医师报告接触有机磷情况,并且有些患者因自接触至发病时间较长而早被遗忘。例如一病儿男,6岁,因4天前食死狗肉一碗后呕吐,呼吸不规则入院,门诊以“食物中毒”收住院。入院后予青霉素、
In recent years, we misdiagnosed 5 cases of organophosphorus pesticide poisoning (referring to the first misdiagnosis), I will do a brief analysis of the causes of misdiagnosis. (1) history is not clear: As children and their parents do not understand the organophosphate pesticide-coated underwear or hair lice can cause poisoning, it can not take the initiative to report to the physician exposure to organic phosphorus, and some patients due to exposure from the onset A long time ago, long forgotten. For example, a sick child male, 6 years old, vomited after eating a bowl of dog meat 4 days ago, irregular breathing and admissions, and the outpatient department was admitted with “food poisoning”. After admission to penicillin,