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yxfbbiedtj · Wysłany: Wto 4:49, 08 Mar 2011

Acute organophosphorus pesticide poisoning jump of 76 cases

To do after biliary drainage pipe under the Rchfuss, atropine should be early enough repeated and continuous application of atropine to make fast to prevent deficiency and excess, cholinesterase dosage sufficient to prevent the infusion speed is too fast and the amount is too large, pay attention to the rebound before the emergence of a variety of clinical aura treated promptly. Patients with severe poisoning, with the use of glucocorticoids and other mechanized units and transmission ttL treatment, active control of cerebral edema, pulmonary edema,[link widoczny dla zalogowanych], respiratory failure, circulatory failure and other serious complications, such as the prevention of the occurrence of rebound is very important. Once the rebound, the dosage of atropine is still a key issue, less effective treatment of non-contracting purposes, too easily lead to atropine poisoning. Will also inhibit the mechanism of feedback regulation of acetylcholine, uneven Ⅱ in the control of complications. Our experience is that the dosage of atropine first:: 0 Ⅱ times, and gradually sliding scale for the first time the amount of 1 / 4 to 1 / 2, the interval of 10 minutes intravenous injection once, until muscarinic symptoms disappeared or reduced, then The amount of intravenous every 15 to 30 minutes to once again pick atropine injection of] the same time should be closely observed, the whole glass at all times. Blood transfusion or exchange transfusion may be added bile Wo esterase B dung-beetle, to reduce levels of organophosphorus pesticide poisoning. Reduce the dosage of atropine treatment in this group with Taiwan, 8 down, the survival rate was 37.5, compared with control P> 0.05. In short, the anti-skip main causes of treatment failure: (1) rebound aura symptoms and signs observed is not small, lack of knowledge, treatment is not timely (2) poisoning, a serious condition,[link widoczny dla zalogowanych], the course is too fast. (3) inadequate or excessive dosage of atropine poisoning or (4) complications of correcting the rule properly. (5) induced hardship is not completely removed. Stupid BIBLIOGRAP 1. Leaf mass enlistment, etc., are summarized severe organophosphorus pesticide poisoning 509 cases of prognosis and the amount of consumption goods Arab relations. Journal of Internal Medicine 1990,27 G. 2. Shi-Jun Wang. Look forward to the organic pesticide poisoning diagnosis and treatment of speech problems. Journal of Internal Medicine 1990s9: 68.3. He is. Acute organophosphorus pesticide poisoning bed boat Hing Wah Street West l6 feed pile analysis. Of Critical Care Medicine 1985s3: 53.4. M [tc ~ ell, JF. ThespontaneousandevokedreleaseofacetylchoH Ⅱ efromthecerebralcortex. JPhys-Joll963. ; 165:90, (Received l1991-02-10 sauce back to a 1991-08-06) acute monocytic leukemia survived 16 years is a case of residual leukemic cells orientin Zhejiang Provincial People's Hospital of Sun paid male patient, 44 years old. Wai, dizziness, fatigue 1 more than a month, 21 years in 1975 Japanese hospital. Physical examination were normal. Blood Hb100g / L, platelets 69x10 / L, WBC14.9 × 10 acridine L,[link widoczny dla zalogowanych], 0.12 neutral classification,[link widoczny dla zalogowanych], lymph 0.15, 0.73 robbed juvenile cells. Bone marrow cells to have significantly increased edge, erythroid myeloid inhibited, no giant edge cell barrier film, the original single-single accounted for 0.79 ten robbery, the cell size of the medium, plasma light gray,[link widoczny dla zalogowanych], with tiny particles, edges were fine mesh, some cells were folded, after staining, single-edge diagnosed with acute leukemia (rush orders). People hospitalized after the treatment by COCT (China Spring a new base, cyclophosphamide, 6i House Bird Noise Yin. Central cytidine) of 6 courses. After 1 course of treatment for each pig were marrow examination, immature cells (original single + hinder single) order of 0.57,0.41,47,0.15,0.17 and 0.10. COA course of treatment to 7 Square Village Spa (vincristine, bad phosphorus amide, cytarabine). Soil solution by the end of bone marrow barrier (the original single + harm a single down to 0.04), after continuous treatment with the same side of the lotus consolidation of two courses in the May 7, 1976 End of the indigo solution foot barrier for patients in the past with the knots 0 then catch history, so the chemotherapy has not been training in the pouring Nepal seized drugs. Maid Accompanying hospital who had to wear, fluid routine biochemical tests were normal buildings. Intrathecal injection of fluoride at a silent gave Yin 10mg. The more films to prevent the occurrence of leukemia. After discharge with the original program to maintain and strengthen the treatment, the first 1 year 1 month to strengthen the first 2 to 3 years 1 every 3 months, 4 years gradually changed to every 4 to June 1 Huan, continued to boast. Discharged during the first l0 years to enhance the treatment of intermittent noise of the birds to 6 Dun methotrexate, and cyclophosphamide Yin F A voice alternating maintenance therapy of patients per week to the war has survived l6 years, with each enhancing the bone marrow before treatment, both for conventional and Regular blood checks directly under the normal uniform, the body was disease-free status barrier. Made recently formed bone marrow cells in vitro increased the set mat, smear staining by staining buildings were confirmed to be naive single-edge cells' closing lotus 1991-11-l8 Revised :1992-04-29) Post code 310014