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急性有机磷中毒(AOPP)是临床常见的急诊,随着急诊水平的提高,死亡率逐渐下降,但因中间综合征(IMS)导致的死亡率仍然居高不下。我院采用机械通气加纳洛酮(Naloxone,NLX)抢救中间综合征12例,取得较好效果.1 临床资料1.1 病例 1997～1999年12月,共收治 AOPP合并IMS 23例,男7例,女16例,年龄17～70岁。均系口服中毒患者。服毒量 10～480 ml,服毒至洗胃时间 0.5～2h。其中:甲胺磷4例,乐果7例,氧化乐果4例,对硫磷2例,马拉硫磷2例,
Acute organophosphate poisoning (AOPP) is a common clinical emergency, with the emergency level increased, the mortality rate gradually decreased, but the intermediate syndrome (IMS) caused by the mortality rate remains high. In our hospital, 12 cases of intermediate syndrome were treated with mechanical ventilation naloxone (NLX), and achieved good results.1 Clinical data 1.1 cases From 1997 to December 1999, 23 cases of AOPP combined with IMS were treated, including 7 males and 7 females 16 cases, aged 17 to 70 years old. All oral poisoning patients. Serving dose of 10 ~ 480 ml, taking poison to gastric lavage time 0.5 ~ 2h. Of which: methamidophos in 4 cases, dimethoate in 7 cases, omethoate in 4 cases, parathion in 2 cases, malathion in 2 cases,