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擬除蟲菊類農藥中毒中毒TEST
有機磷殺蟲劑中毒之處理

什麼是有機磷殺蟲劑?

常見如『美文松』、『達馬松』、『大滅松』、『毒絲本』、『亞素靈』、『全滅寧』、『撲滅松』等

毒理機轉

抑制乙醯膽鹼酵素之分解,而產生持續神經刺激的症狀

中毒症狀

有機磷中毒時,症狀常於半小時內即出現,但在少數情況下,仍可能延遲至數小時,乃至24小時後才產生

1.     蕈毒樣(muscarinic)作用:常見者為分泌物增加(口水、痰、眼淚)、瞳孔縮小如針瞳、腹瀉、大便失禁、腹痛、尿失禁、心跳變慢等。

2.     菸鹼樣(nicotinic)作用:血壓增高、心跳增快、四肢無力、肌肉抽動、高血糖

中樞神經作用:以焦慮、頭痛、眩暈、步態不穩、混亂不清、抽搐、低血壓、呼吸抑制或不規則為主。
<P style=@D@TEXT-INDENT: -18pt; MARGIN-LEFT: 36pt; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt@D@><SPAN style=@D@FONT-FAMILY: @A@Times New Roman@A@,@A@serif@A@; COLOR: navy; FONT-SIZE: 13.5pt; mso-fareast-font-family: @A@Times New Roman@A@@D@ lang=EN-US><SPAN style=@D@mso-list: Ignore@D@>1.<SPAN style=@D@FONT: 7pt @A@Times New Roman@A@@D@>&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></SPAN></SPAN><FONT size=3><SPAN style=@D@FONT-FAMILY: 標楷體; COLOR: navy; mso-bidi-font-family: @A@Times New Roman@A@@D@>神智狀態、呼吸狀況<SPAN lang=EN-US>(</SPAN>有無囉音、有無呼吸窘迫現象<SPAN lang=EN-US>)</SPAN>、徹底清除衣物、皮膚及毛髮上殘留之有機磷污染<SPAN lang=EN-US>(</SPAN>自身之保護<SPAN lang=EN-US>)</SPAN>、氧氣給予</SPAN><SPAN style=@D@FONT-FAMILY: @A@Times New Roman@A@,@A@serif@A@; COLOR: navy; FONT-SIZE: 13.5pt@D@ lang=EN-US><?xml:namespace prefix = o ns = @D@urn:schemas-microsoft-com:office:office@D@ /><o:p></o:p></SPAN></FONT></P> <P style=@D@TEXT-INDENT: -18pt; MARGIN-LEFT: 36pt; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt@D@><SPAN style=@D@FONT-FAMILY: @A@Times New Roman@A@,@A@serif@A@; COLOR: navy; FONT-SIZE: 13.5pt; mso-fareast-font-family: @A@Times New Roman@A@@D@ lang=EN-US><SPAN style=@D@mso-list: Ignore@D@>2.<SPAN style=@D@FONT: 7pt @A@Times New Roman@A@@D@>&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></SPAN></SPAN><SPAN style=@D@FONT-FAMILY: 標楷體; COLOR: navy; FONT-SIZE: 13.5pt; mso-bidi-font-family: @A@Times New Roman@A@@D@>解毒劑<SPAN lang=EN-US> atropine </SPAN>之使用:以呼吸道分泌物之多寡為治療指標<SPAN lang=EN-US>(</SPAN>非以心跳或瞳孔大小為指標<SPAN lang=EN-US>)</SPAN>,一般用量<SPAN lang=EN-US>0.004-0.016 mg/kg/hr,</SPAN>持續靜脈注射</SPAN><SPAN style=@D@FONT-FAMILY: @A@Times New Roman@A@,@A@serif@A@; COLOR: navy; FONT-SIZE: 13.5pt@D@ lang=EN-US><o:p></o:p></SPAN></P> <P style=@D@TEXT-INDENT: -18pt; MARGIN-LEFT: 36pt; mso-list: l0 level1 lfo1; tab-stops: list 36.0pt@D@><SPAN style=@D@FONT-FAMILY: @A@Times New Roman@A@,@A@serif@A@; COLOR: navy; FONT-SIZE: 13.5pt; mso-fareast-font-family: @A@Times New Roman@A@@D@ lang=EN-US><SPAN style=@D@mso-list: Ignore@D@>3.<SPAN style=@D@FONT: 7pt @A@Times New Roman@A@@D@>&nbsp;&nbsp;&nbsp;&nbsp; </SPAN></SPAN></SPAN><SPAN style=@D@FONT-FAMILY: 標楷體; COLOR: navy; FONT-SIZE: 13.5pt; mso-bidi-font-family: @A@Times New Roman@A@@D@>中間期症候群<SPAN lang=EN-US>(intermediate syndrome)</SPAN>:常見於大滅松、芬殺松及亞素靈等有機磷中毒。臨床特徵以近端肌肉無力或突發性呼吸衰竭為主,中毒後<SPAN lang=EN-US>1-4</SPAN>天發生</SPAN><SPAN style=@D@FONT-FAMILY: @A@Times New Roman@A@,@A@serif@A@; COLOR: navy; FONT-SIZE: 13.5pt@D@ lang=EN-US><o:p></o:p></SPAN></P> <P><FONT size=3><STRONG><SPAN style=@D@FONT-FAMILY: 標楷體; COLOR: navy@D@>※氨基甲酸鹽殺蟲劑</SPAN></STRONG></FONT></P><SPAN style=@D@FONT-FAMILY: 標楷體; COLOR: navy; FONT-SIZE: 13.5pt; mso-font-kerning: 1.0pt; mso-bidi-font-family: @A@Times New Roman@A@; mso-ansi-language: EN-US; mso-fareast-language: ZH-TW; mso-bidi-language: AR-SA@D@>除了中間期症候群外,其餘與有機磷類似。</SPAN>
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