不明原因的急性中毒的识别与急救

目的探讨不明原因急性中毒的识别与急救。方法对20例不明原因的疑是急性中毒病人进行多因素分析并给予相应的急救处理。结果病人均有精神刺激、行为异常的先兆性；家庭有农药、安眠药、灭鼠药等提供方便的易发性；既往体健，不能用其他疾病解释的突发性；同时发病，表现相似患者间有一定联系的群体性。20例均采取通用性譬催吐、洗胃、解毒对症等急救处理，19例治愈，死亡1例。结论不明原因的急性中毒通过多因素分析及积极的急救。有利于提高抢救成功率。

Identification and First Aid of Acute Intoxication with Unknown Causes

Objective To discuss identification and first aid of acute intoxication with unknown causes. Methods 20 acute poisoning patients with unknown causes were analysed by multi - factor methods and treated with corresponding first aid. Results All patients had previous experience of mental stimulation and abnormal behaviors. Pesticide, hynotic and rodenticidewere present in their homes. All cases attacted suddenly without any other causes. Patients poisoned in the same time had similar symptoms and they had some relationship with each other. After first aids of vomitive, gastric lavage and detoxication, 19 patients were cured but 1 died. Conclusions Acute intoxication with unknown causes should be analysed by multi - factor methods and treated with corresponding first aid.