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目的总结急性三氯杀螨醇中毒的临床资料。方法对本院收治的急性三氯杀螨醇中毒112例病例进行回顾性分析,归纳其主要临床表现,分析其实验室检查结果,总结抢救方法。结果急性三氯杀螨醇中毒患者主要表现为消化系统、神经系统症状和体征,部分患者有循环系统症状和体征,少数患者有肝(约28%)、肾(约13%)损害,20%有心电图改变。经彻底清除毒物,促进毒物排泄,对症治疗后全部治愈。结论三氯杀螨醇属低毒类农药,人体急性中毒后轻症患者主要为消化系统和神经系统的一般表现,部分重症患者可出现相应危重症状,经综合治疗后,患者多可在短期内治愈。
Objective To summarize the clinical data of acute dicofol poisoning. Methods A total of 112 cases of acute dicofol poisoning in our hospital were retrospectively analyzed. The main clinical manifestations were summarized, the laboratory test results were analyzed, and the rescue methods were summarized. Results Acute dicofol poisoning was mainly manifested as digestive system and neurological symptoms and signs. Some patients had circulatory symptoms and signs. In a minority of patients, liver (about 28%), kidney (about 13%) were damaged, and electrocardiogram changes were found in 20%. After thorough removal of poisons, to promote the excretion of toxic substances, all cured after symptomatic treatment. Conclusion dicofol belongs to the group of low-toxic pesticides. The patients with mild poisoning after acute poisoning are the general symptoms of digestive system and nervous system. Some critically ill patients may have corresponding critical symptoms. After comprehensive treatment, the patients can be cured in a short period of time.