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甲胺磷属有机磷杀虫剂,毒性较强,可经口服、皮肤或呼吸道吸收中毒。 甲胺磷进入机体后,可使体内乙酰胆碱不能分解而蓄积,使胆碱能神经过度兴奋,引起一系列中毒症状.一般表现为头晕、恶心、呕吐、肌肉振颤.甚至昏迷。经洗胃,应用有效解毒剂.血液透析等处理,一般均能脱离危险。但遇有病史不详,临床症状又不典型患者,就会给抢救带来麻烦。 1995年12月我们收治了1例甲胺磷中毒患者,现将抢救经过介绍如下。 患者,男性,19岁,主因患感冒,服用速效感冒胶囊2粒入睡,4小时后发现呼之不应,急送医院急诊。 来院查体:T37℃,P96次/min,R20次/min,BP17/10kPa,神志不清,呈中度昏迷状态,双瞳孔
Methamidophos is an organophosphorus insecticide, highly toxic, can be taken orally, the skin or respiratory absorption poisoning. Methamidophos into the body, can make the body can not break down the accumulation of acetylcholine, the cholinergic nerve over-excited, causing a series of symptoms of poisoning. Generally manifested as dizziness, nausea, vomiting, muscle agitation and even coma. After gastric lavage, the application of effective antidote, hemodialysis and other treatment, are generally out of danger. But in case of unknown history, clinical symptoms are not typical patients, it will bring trouble to the rescue. In December 1995 we admitted 1 case of methamidophos poisoning, now after the rescue described below. Patients, men, 19 years old, the main cause of a cold, taking two capsules quickly available cold capsules, 4 hours after the call should not be found, emergency hospital emergency. To the hospital examination: T37 ℃, P96 times / min, R20 times / min, BP17 / 10kPa, unconscious, moderate coma, double pupil