摘要
目的探讨抢救有机磷农药中毒时怎样观察和判断阿托品的应用情况,以减少阿托品中毒和阿托品依赖现象的发生,提高抢救成功率。方法将从2004年1月-2007年12月抢救的66例有机磷中毒的患者进行临床总结分析。结果66例抢救成功60例,死亡6例,中毒程度越重越易发生阿托品中毒,阿托品中毒和并发症的发生互为因果,阿托品中毒患者阿托品的应用总量远大于非中毒,更易产生阿托品依赖。结论抢救有机磷农药中毒时,正确判断阿托品化是提高成功率的关键所在。
Objective To study the usage and dosage of atropine in the treatment of organophosphate pesticide poisoning treatment, decrease the occurrence of atropism and atropine dependence, increase the successful rate of salve. Methods A retrospective study was conducted with 66 organophosphate poisoning patients admitted to our department between January 2004 and December 2007. Results 60 out of 66 patients survived during the treatment. Atropism had a higher frequency in serious patients. The interactive relationship could be reciprocal causation between atropism and complications. The total dosage of atropine was large in patients with atropism, and the incidence of atropine dependence was higher. Conclusions The accurate judgment of atropinization can improve the successful rate of organophosphate pesticide poisoning treatment.
出处
《中华全科医学》
2008年第11期1151-1152,共2页
Chinese Journal of General Practice
关键词
有机磷中毒
阿托品化
阿托品中毒
阿托品依赖
Organophosphate poisoning
Atropinization
Atropism
Atropine dependence
