Acute organophosphorus pesticide poisoning two cases of acute pancreatitis.docVIP

 PAGE \* MERGEFORMAT 9 Acute organophosphorus pesticide poisoning two cases of acute pancreatitis Keywords: acute organophosphorus pesticide poisoning, severe acute pancreatitis Acute organophosphorus pesticide poisoning is more common in primary hospitals. Due to acute poisoning, especially in moderate and severe poisoning condition is much more varied, the treatment may appear counter-jump and intermediate syndrome, and therefore more consideration when exacerbations For these reasons, leading to some missed diagnosis of acute pancreatitis patients, misdiagnosis. And concurrent acute severe pancreatitis, if not promptly treated, serious consequences. Now the Court of 2 recent cases of acute organophosphorus pesticide poisoning cases of acute pancreatitis following report is intended to cause clinical importance. 1 Case Information Case a female patient, 45-year-old self-serving because of 2h ago dichlorvos 20ml with unconsciousness 1h on January 12, 2008 admission. Prior to the onset, without a large number of eating and drinking history, past history of non-biliary and pancreatic diseases, alter-ego, body health. Admission, accompanied by full-body cold sweat, froth at the mouth, incontinence. Palpation: T35.2 ℃ HR50 times / min, R14 times / min, BP15/10kPa, light coma, clammy skin, body, neck soft, double-pupil diameter of about 2mm, light reflection exists, oral secretions more, mouth foam-like liquid flow, heart rate Qi, is not heard and organic murmur, lungs coarse breath sounds can be heard and extensive wet and dry rales and sputum of song, abdomen flat soft, press no response, shifting dullness (-), bowel sounds 5 times / min, bilateral gastrocnemius muscle see muscle bundle fibrillation, pathological reflex (-). 8% of cholinesterase activity, liver and kidney function and blood lipids, blood sugar were normal. Admission diagnosis: acute severe organophosphorus pesticide poisoning (dichlorvos). Given gastric lavage, blood perf