Dab tsi yog Qhov tshwm sim ntawm Organophosphorus Pesticide Poisoning

Lub sijhawm thiab qhov hnyav ntawm cov tsos mob ntawm cov tshuaj tua kab mob organophosphorus yog ze ze rau txoj kev nkag, qhov xwm txheej ntawm cov tshuaj tua kab, tus nqi nkag thiab nqus, thiab kev noj qab haus huv ntawm tib neeg lub cev. Feem ntau, mob hnyav feem ntau tshwm sim hauv 12 teev. Yog tias cov tshuaj tua kab mob organophosphorus muaj tshuaj lom heev los yog nqus tau los ntawm qhov ncauj, cov tsos mob thiab kev tuag tuaj yeem tshwm sim li ntawm ob peb feeb mus rau kaum feeb. Qhov pib ntawm kev sib cuag ntawm daim tawv nqaij yog qhov qeeb qeeb, tab sis cov tsos mob hnyav tuaj yeem tshwm sim tom qab nqus tau. kiv taub hau, mob taub hau, xeev siab, ntuav, salivation, tawm hws, tsis pom kev, qaug zog, thiab lwm yam yuav tshwm sim nyob rau hauv thaum ntxov los yog me ntsis theem ntawm hom tshuaj lom tshuaj lom. Cov kua qaub ntau ntxiv, qhuav thiab ntub dej thiab hawb pob hauv lub ntsws, mob plab, raws plab, trance, staggering, bradycardia, kub taub hau, chills, thiab lwm yam. Cov mob hnyav feem ntau muaj xws li tachycardia, atrioventricular block, atrial fibrillation thiab lwm yam txawv txav lub plawv dhia, nce lossis txo. ntshav siab, cyanosis, dyspnea, foaming ntawm lub qhov ncauj thiab qhov ntswg, thiab txawm cov ntshav (pulmonary edema), convulsions, coma, loj Fecal incontinence los yog tso zis retention, quadriplegia, poob ntawm reflexes, thiab lwm yam, tej zaum yuav ua rau ua pa tuag tes tuag taw los yog txuam nrog. nrog circulatory tsis ua hauj lwm thiab tuag. Cov tsos mob ua pa thiab qhov muag pom tshwm ua ntej hauv cov neeg mob uas nqus tau tshuaj lom, cov tsos mob plab hnyuv feem ntau tshwm sim thawj zaug hauv qhov ncauj lom, thiab tawm hws hauv zos thiab kev cog lus ntawm cov leeg nqaij uas nyob ib sab yog thawj qhov tshwm sim ntawm kev sib cuag ntawm daim tawv nqaij. Erythema-zoo li kev hloov pauv feem ntau tshwm sim ntawm kev sib cuag ntawm dichlorvos thiab daim tawv nqaij, thiab maj mam ua hlwv. Tus neeg mob tau khaus thiab kub hnyiab. Cov kev kho mob tshwm sim ntawm organophosphorus lom nyob rau hauv cov me nyuam yog tej zaum atypical heev: qee cov me nyuam feem ntau qhia cov tsos mob xws li mob taub hau, ntuav, pom kev pom, convulsions, coma, thiab lwm yam .; Qee qhov feem ntau pom cov tsos mob ntawm lub plab zom mov xws li ntuav, mob plab, lub cev qhuav dej, thiab lwm yam. Tsis tas li ntawd, qee cov menyuam yaus raug lom yog cov tsos mob ntawm cov hlab plawv, xws li qeeb lossis nce plawv dhia, ntshav siab poob, thiab poob siab; Muaj cov rales ntub thiab qhuav, hawb pob, thiab lwm yam; Qee lub sij hawm cov menyuam yaus raug lom tsuas yog muaj ib qho tsos mob los yog kos npe rau qhov tshwm sim tseem ceeb, xws li kub taub hau, mob plab, convulsions, limb flaccid tuag tes tuag taw, taug kev tsis ruaj khov ua rau poob, systemic edema nrog kev hloov pauv hauv cov zis niaj hnub, yog li ntawd, qee zaum misdiagnosed li encephalitis. , meningitis, mob plab hnyuv, plab hnyuv ascariasis- hom kab mob dysentery, menyuam yaus lossis menyuam yaus mob ntsws, nephritis, qaug dab peg, mob kis mob polyradiculitis tshuaj (xws li barbiturates) Opioid chlorpromazine (chloral hydrate) lom, thiab lwm yam.

Suspected cases must be thoroughly inquired about the contact history with organophosphorus pesticides. It is necessary to fully understand the children's food (breastfeeding), clothing, clothing, and places of play; carefully check whether the children have specific signs of organophosphorus pesticide poisoning, such as mydriasis (mydriasis may not appear in the early stage of poisoning, and occasionally poisoning occurs. The sick child does not have miosis or has transient dilation before miosis), muscle fasciculations, increased secretions such as sweating, salivation, lacrimation, pulmonary rales (acute pulmonary edema), erythema or blisters on the skin, etc. , Some organophosphorus pesticides have a special garlic odor or aroma.