| 急性有机磷农药中毒中间综合征17例分析 |
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| 引用本文： | 李永顺,姚晨玲.急性有机磷农药中毒中间综合征17例分析[J].中国临床医学,2010,17(1):132-133. |
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| 作者姓名： | 李永顺 姚晨玲 |
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| 作者单位： | 1. 福建省龙岩市第一医院急诊科,福建龙岩,364000
2. 复旦大学附属中山医院急诊科,上海,200032 |
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| 基金项目： | 国家科技支撑项目(2006BAI06B01) |
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| 摘 要： | 目的：探讨急性有机磷农药中毒中间综合征（IMS）的临床特点及临床处理对策。方法：对17例急性有机磷农药中毒中间综合征患者的临床资料进行分析。结果：IMS出现在中毒后1～5d，经积极救治17例中完全治愈13例，好转1例，死亡3例。结论：中间综合征以对症支持治疗为主。急性期应用阿托品的同时，及早、足量、重复应用肟类复能剂以及适时应用机械通气可有效防治中间综合征。
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| 关 键 词： | 中间综合征 阿托品 肟类复能剂 机械通气 |
Clinical Analysis of Intermediate Syndrome after Acute Organophosphorus Pesticides Poisoning in 17 Cases |
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| LI Yongshun,YAO Chenling.Clinical Analysis of Intermediate Syndrome after Acute Organophosphorus Pesticides Poisoning in 17 Cases[J].Chinese Journal Of Clinical Medicine,2010,17(1):132-133. |
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| Authors: | LI Yongshun YAO Chenling |
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| Institution: | LI Yongshun1 YAO Chenling2 1.Department of Emergency Medicine,Longyan Municipal Hospital in Fujian Province,Longyan 364000,China,2.Deparment of Emergency Medicine,Zhongshan Hospital,Fudan University,Shanghai 200032 |
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| Abstract: | Objective: To investigate the clinical characteristics and treatment of intermediate syndrome(IMS) after acute organophosphorus pesticide poisoning(AOPP).Methods: The clinical data of 17 cases with acute organophosphorus pesticide poisoning intermediate syndrome were analyzed.Results: IMS appearsed in the first to 5th days after poisoning.Thirteen cases were completely cured,one case improved,three cases died.Conclusions:Symptomatic supportive care is very important in IMS.In addition to application of atro... |
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| Keywords: | Intermediate syndrome Atropine Oxime Mechanical ventilation |
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