52 cases of acute organophosphorus pesticide poisoning complicated by acute pulmonary edema Analysis.docVIP

 PAGE \* MERGEFORMAT 12 52 cases of acute organophosphorus pesticide poisoning complicated by acute pulmonary edema Analysis Paper Keywords: Pulmonary edema organophosphorus pesticide poisoning Abstract: 【Abstract】 Objective To investigate the acute organophosphorus pesticides poisoning complicated by acute pulmonary edema in the pathogenesis, clinical features, imaging features and. Methods Recall the 1994 1 month - December 1998, the after rescue and treatment of 52 cases of acute organophosphorus pesticide poisoning symptoms in patients with pulmonary edema, chest X ray, diagnosis and treatment of the results of clinical data. Results The patients were three acute organophosphorus pesticide poisoning. The main symptoms include a dry cough or cough foam sputum, chest tightness or shortness of breath, hemoptysis, and pleural effusion. Negative signs of early lung alveolar pulmonary edema in the lung could be heard under the period of two moist rale. The patients in the lung congestion period and the period of interstitial pulmonary edema the early X-ray findings was not obvious, until the performance of pulmonary edema was characteristic changes. All patients were in the PAM, large doses of atropine and symptomatic treatment, based on the added dehydration with diuretic agents, corticosteroids, antibiotics, heavy person to breathe on PEEP (PEEP) oxygen and other treatment. 52 patients, 44 cases (84.6%) cured and discharged improved, 8 cases of death, accounting for 15.4%. One died of respiratory failure caused by pulmonary edema, 3 cases (5.8%). Conclusions acute organophosphorus pesticides poisoning complicated by acute pulmonary edema is a serious clinical manifestations. Clinical features and X-ray findings of an early manifestation of obvious, easily poisoning overshadowed by other systemic manifestations. In the treatment of measures, designed to address the clinical manifestations of pulmonary edema, but also taking into account the primary