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我院1979年12月～1988年12月收治23例婴幼儿有机磷中毒,误诊9冽(占39.1％)。现分析如下: 一、临床资料 9例患儿最小4个月,最大2岁。男5例,女4例。全部为农村病例。中毒原因:皮肤接触7例(玩装农药未处理空瓶2例,用农药灭虱2例,用农药治皮肤病1例,用装农药的塑料袋做尿垫1例,患儿母喷洒农药后未洗手而哺乳1例),消化道中毒1例(吃刚洒过农药的水果),原因不明者1例(其姐抱患儿到刚洒过农药田地玩)。9例分别被误诊为气管异物,憋喘性肺炎,化脓性脑膜炎,肾病综合征,格林一巴利综合征,小儿肠炎。8例治愈,1例死亡。
In our hospital from December 1979 to December 1988 23 cases of infants and children with organophosphate poisoning, misdiagnosis 9 冽 (39.1%). The analysis is as follows: First, the clinical data of 9 patients with a minimum of 4 months, maximum 2 years old. 5 males and 4 females. All for rural cases. Causes of poisoning: skin contact in 7 cases (playing with pesticides untreated empty bottles in 2 cases, with pesticides and lice in 2 cases, 1 case of skin diseases with pesticides, plastic bags filled with pesticides in 1 case of urine pad, 1 patient who did not wash her hands after breast-feeding), 1 case of digestive tract poisoning (eating fruits just spilled pesticide), 1 case of unidentified cause (her sister had children just spilled pesticide field). Nine cases were misdiagnosed as tracheal foreign body, asthmatic pneumonia, purulent meningitis, nephrotic syndrome, Guillain-Barre syndrome, and pediatric enteritis. 8 cases were cured, 1 case died.