Bhattarai M D, Singh D L, Chalise B S, Koirala P
Department of Medicine, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.
Kathmandu Univ Med J (KUMJ). 2006 Jan-Mar;4(1):100-4.
A case of organophosphate (OP) poisoning who recovered after requiring almost 1000 mg of atropine, 10 gm of PAM and ventilatory support for 7 days is presented here. The overview of organophosphate poisoning and its management is given. With the approach adopted, the mortality reported in the general medicine unit in the central hospital in Nepal is 7.4%. The two important aspects of the management are vigilance of the atropine drip, especially at night, and other physical and psychological support care of the patients.
本文介绍了一例有机磷(OP)中毒病例,该患者在使用了近1000毫克阿托品、10克解磷定并接受了7天的通气支持后康复。文中给出了有机磷中毒及其治疗的概述。采用这种方法,尼泊尔中央医院普通内科报告的死亡率为7.4%。治疗的两个重要方面是对阿托品滴注的密切监测,尤其是在夜间,以及对患者的其他身体和心理支持护理。