最近审阅: 27 十月 2020
最近更新: 05 三月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 分泌物增加
  • 肌束震颤
  • 针尖样瞳孔
  • 独特的气味
  • 胸部湿罗音和干罗音
  • 半清醒/昏迷

其他诊断因素

  • 视觉障碍
  • 呕吐
  • 流感样症状
  • 大小便失禁
  • 近端肌肉无力
  • 深腱反射异常
  • 心率异常
  • 血压异常
  • 呼吸减弱
  • 体温过低
  • 惊厥
  • 迟发性中枢神经系统和外周(主要是运动神经)神经病

危险因素

  • 农药可得性
  • 有自伤史或最近出现人际冲突
  • 精神疾病
  • 酒精或药物滥用

诊断性检查

首要检查

  • 阿托品治疗试验
  • 血浆胆碱酯酶
  • 红细胞胆碱酯酶
更多 首要检查

需考虑的检查

  • 胸部 X 线检查
  • 心电图 (ECG)
  • 血气
更多 需考虑的检查

治疗流程

撰稿人

Professor of Clinical Pharmacology

Pharmacology Department

Sydney Medical School

University of Sydney

Sydney

New South Wales

Australia

利益声明

NB is an author of a number of references cited in this topic.

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Assistant Professor of Emergency Medicine

Division of Medical Toxicology

University of Massachusetts Medical School

North Worcester

MA

利益声明

SBB declares that he has no competing interests.

Program Director

Medical Toxicology

Regional Poison Center

Children's Hospital of Michigan

Detroit

MI

利益声明

CKA holds stock in Merck Pharmaceuticals and is a paid consultant for ToxEd. She was briefly a paid consultant for Lexi-Comp.

Professor Medical Director

San Francisco Division

California Poison Control System

San Francisco

CA

利益声明

KRO declares that he has no competing interests.

Consultant Physician and Clinical Toxicologist

National Poisons Information Service (Newcastle)

Newcastle-upon-Tyne

UK

利益声明

RT declares that he has no competing interests.

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