群体性有机磷杀虫剂中毒救治探讨  

Treatment analysis of mass organophosphorus insecticide poisoning

作　　者：刘新华[1] 

机构地区：[1]武警水电指挥部门诊部,北京100055

出　　处：《中国当代医药》2012年第26期160-161,共2页China Modern Medicine

摘　　要：目的探讨群体性有机磷杀虫剂(OPI)中毒救治的临床特点。方法回顾性分析一次突发群体性OPI中毒的临床资料。结果 55例OPI中毒患者为集体生活、统一进食,在相同时间段出现头昏、恶心、呕吐、上腹部疼痛,其中,32例出现皮肤潮湿多汗,1例出现心慌、心悸和燥动不安,1例出现幻觉、躁狂、谵妄、尿潴留,大多数患者、家属、老师出现不同程度的紧张恐慌情绪;40例胆碱酯酶(ChE)活力降低,15例ChE活力正常;55例患者经排毒、解毒、对症、支持治疗均痊愈。结论群体性OPI中毒救治过程中要区别对待不同患者,注意心因性反应影响病情判断,合理使用解毒药物,防治阿托品中毒发生。Objective To investigate the clinical features of mass OPI poisoning treatment. Methods Clinical data of a sudden mass OPI poisoning were retrospectively analyzed. Results Fifty-five OPI poisoning patients who lived and eat to- gether had dizziness, headache, nausea, vomiting and upper abdominal pain in the same period. Among them, 32 cases had hydrosis, 1 case had palpitation and another case had illusion, mania and urinary retention, most patients, family members and teachers had different degree mood of tension and panic. 40 cases of eholinesterase （ChE） activity was reduced, and other 15 cases had normal ChE activity. All 55 cases were healed by means of detoxification, symptomatic and supporting treatment. Conclusion During the period of treatment on mass OPI poisoning, it should conduct specific therapy on differ- ent patients and pay special attention to the psychogenic response so as to prevent posing impact on diagnosis. Adopt detoxification medicine reasonably and prevent atropine intoxication from happening.

关 键 词：中毒 有机磷杀虫剂 心因性反应 阿托品 

分 类 号：R595.7[医药卫生—内科学]