52例有机磷农药急性中毒并发急性肺水肿分析

目的 探讨有机磷农药急性中毒并发急性肺水肿的机理、临床特点、影像学特征及治疗方法。方法 分析1994年1月-1998年12月间，经抢救和治疗的52例有机磷农药急性中毒并发急性肺水肿患的症状、胸部X线摄片、诊断及治疗结果的临床资料。结果 52例患中44例（84.6%)，治愈好转出院，死亡8例（15.4%)，其中死于肺水肿致呼吸衰竭3例（5.8%)。结论 急性有机磷农药中毒并发急性肺水肿临床特点和X线表现早期表现不明显，易被中毒的其它全身表现所掩盖。在治疗措施上，既要针对肺水肿的临床表现，又要考虑到原发疾病的病因治疗。

Analysis of acute organophosphate poisoning complicated with plmonary edema: 52 cases

Objective To discuss the clinical features and treatment of pulmonary edema caused by acute organophosphate poisoning. Methods The symptoms and therapeutic results of 52 cases (1994.1～ 1998.12) of organophosphate poisoning complicated with pulmonary edema were summrized. Results The clinical features of pulmonary edema caused by acute organophosphate poisoning were atypical during early stage. 8 of 52 patients died (15.4％ ), and among this eight patients, 3 died of respiratory failure caused by pulmonary edema(5.8％ ). Conclusion The physician should pay more attention to pulmonary edema and diagnose it early in acute organophosphate paisoning.