中国继续医学教育
中國繼續醫學教育
중국계속의학교육
China Continuing Medical Education
2015年
28期
138-139
,共2页
有机磷农药中毒%反跳%阿托品%胆碱酯酶%复能剂
有機燐農藥中毒%反跳%阿託品%膽堿酯酶%複能劑
유궤린농약중독%반도%아탁품%담감지매%복능제
Organophosphorus pesticides poisoning%Rebound%Atropine%Cholinesterase%Complex agent
目的：探讨急性有机磷农药中毒发生反跳的原因及防治措施。方法回顾性分析2004年4月～2014年3月我科收治的急性有机磷农药中毒386例中发生反跳的31例临床资料。结果有机磷农药清除不彻底，治疗晚，停药快或维持量不足，未及时发现合并症是反跳出现的原因。结论对AOPP患者的抢救过程中出现病情突然加重应考虑到病情反跳，反跳原因是多方面的，临床医师应充分认识这些原因并作积极应对，以提高AOPP患者的抢救成功率。
目的：探討急性有機燐農藥中毒髮生反跳的原因及防治措施。方法迴顧性分析2004年4月～2014年3月我科收治的急性有機燐農藥中毒386例中髮生反跳的31例臨床資料。結果有機燐農藥清除不徹底，治療晚，停藥快或維持量不足，未及時髮現閤併癥是反跳齣現的原因。結論對AOPP患者的搶救過程中齣現病情突然加重應攷慮到病情反跳，反跳原因是多方麵的，臨床醫師應充分認識這些原因併作積極應對，以提高AOPP患者的搶救成功率。
목적：탐토급성유궤린농약중독발생반도적원인급방치조시。방법회고성분석2004년4월～2014년3월아과수치적급성유궤린농약중독386례중발생반도적31례림상자료。결과유궤린농약청제불철저，치료만，정약쾌혹유지량불족，미급시발현합병증시반도출현적원인。결론대AOPP환자적창구과정중출현병정돌연가중응고필도병정반도，반도원인시다방면적，림상의사응충분인식저사원인병작적겁응대，이제고AOPP환자적창구성공솔。
Objective To investigate the acute organophosphorus pesticide causes and prevention of rebound poisoning.Methods A retrospective analysis of acute organophosphorus pesticide from April 2004 to March 2014 our department treated 31 cases of poisoning clinical data rebound occurred in 386 cases. Results Organophosphorus pesticides not completely clear, late treatment, inadequate maintenance dose or discontinuation fast, did not discover the cause rebound complications arise.Conclusion The rescue process AOPP patient's condition suddenly worsened appeared to be taking into account the disease rebound, rebound are many reasons, clinicians should fully understand these reasons and make a positive response, in order to improve the survival rate of patients with AOPP.
