急性有机磷农药中毒中间综合征17例分析  

Clinical Analysis of Intermediate Syndrome after Acute Organophosphorus Pesticides Poisoning in 17 Cases

作　　者：李永顺[1] 姚晨玲[2] 

机构地区：[1]福建省龙岩市第一医院急诊科,福建龙岩364000 [2]复旦大学附属中山医院急诊科,上海200032

出　　处：《中国临床医学》2010年第1期132-133,共2页Chinese Journal of Clinical Medicine

基　　金：国家科技支撑项目(2006BAI06B01)

摘　　要：目的：探讨急性有机磷农药中毒中间综合征（IMS）的临床特点及临床处理对策。方法：对17例急性有机磷农药中毒中间综合征患者的临床资料进行分析。结果：IMS出现在中毒后1～5d，经积极救治17例中完全治愈13例，好转1例，死亡3例。结论：中间综合征以对症支持治疗为主。急性期应用阿托品的同时，及早、足量、重复应用肟类复能剂以及适时应用机械通气可有效防治中间综合征。Objective： To investigate the clinical characteristics and treatment of intermediate syndrome （IMS） after acute or- ganophosphorus pesticide poisoning（AOPP）. Methods： The clinical data of 17 cases with acute organophosphorus pesticide poi- soning intermediate syndrome were analyzed. Results： IMS appearsed in the first to 5＇h days after poisoning. Thirteen eases were completely cured, one case improved, three cases died. Conclusions：Symptomatic supportive care is very important in IMS. In addition to application of atropine. Early, adequate, repeat using of Oxime complex agents, as well as the timely use of me- chanical ventilation, can effectively prevent and treat the intermediate syndrome.

关 键 词：中间综合征 阿托品 肟类复能剂 机械通气 

分 类 号：R595.4[医药卫生—内科学]