敌敌畏中毒继发胃穿孔2例  

Two cases of dichlorvos poisoning complicated with gastric perforation

作　　者：陈士超[1] 刘乃政[1] 宋小芹 曲爱君[1] Chen Shichao;Liu Naizheng;Song Xiaoqin;Qu Aijun(Department of Emergency Medicine,Liaocheng People's Hospital,Liaocheng 252000,China)

机构地区：[1]聊城市人民医院急诊科,聊城252000

出　　处：《中华劳动卫生职业病杂志》2023年第8期632-635,共4页Chinese Journal of Industrial Hygiene and Occupational Diseases

摘　　要：重度急性敌敌畏中毒具有起病急、病情进展迅速、并发症重等特点,常伴多脏器功能衰竭(中枢、呼吸、循环系统)、严重酸中毒(acidosis)等并发症,并发胃穿孔较少见,一旦继发胃穿孔,治疗困难,患者预后较差,所以早期充分胃肠道洗消至关重要。本文报道敌敌畏中毒继发胃穿孔2例,探讨胃穿孔发生原因及临床诊疗方法。Severe acute dichlorvos poisoning is characterized by rapid onset,swift disease progression and serious complications.It frequently involves multiple organ failure(central,respiratory and circulatory systems),severe acidosis,and rare occurrences of gastric perforation.When secondary gastric perforation occurs,treatment becomes difficult and the prognosis of patients is poor.Thus,early and sufficient gastrointestinal decontamination is crucial.This article presented two cases of gastric perforation secondary to dichlorvos poisoning and discussed the causes of gastric perforation,as well is clinical diagnostic and treatment methods.

关 键 词：敌敌畏 中毒 胃穿孔 

分 类 号：R595.4[医药卫生—内科学]