Parajuli S, Jayakumar J, Dham S K
Manipal College of Medical Sciences, Pokhara, Nepal.
Kathmandu Univ Med J (KUMJ). 2005 Oct-Dec;3(4):421-2.
A case of organophosphorous poisoning in a 29 year old male who developed intermediate syndrome manifested by features of respiratory depression as evidenced by marked weakness of the respiratory muscles, tachypnoea, and drop in oxygen saturation despite reversal of nicotinic and muscarinic effects of organophosphorous poisoning. The case highlights its early recognition and prompt institution of mechanical ventilation with continuation of anticholinergic drugs. The mechanical ventilation had to be continued for 9 days with successful outcome.
一名29岁男性有机磷中毒病例，出现中间综合征，表现为呼吸抑制，呼吸肌明显无力、呼吸急促以及氧饱和度下降，尽管有机磷中毒的烟碱样和毒蕈碱样作用已被逆转。该病例强调了对其的早期识别以及及时进行机械通气并持续使用抗胆碱能药物。机械通气持续了9天，最终取得成功。
