笔者学习贵刊1981年第4期《急性有机磷农药中毒的脑水肿问题》一文受到启发,治愈1例此类患者。男,19岁,口服敌敌畏约250毫升,1小时后急送我院。患者神志不清,口角流涎,瞳孔缩小。颈部(-)。呼吸均匀,双肺满布水泡音。心率60次,律整,各瓣膜未闻及杂音。腹部(-)。试纸法查胆碱脂酶活力为40%。诊为急性有机磷中毒。治疗:立即洗胃,给硫酸阿托品3毫克肌注,每5分钟一次,解磷定2克加入5%葡萄糖液中静滴。用阿托品10次后,瞳孔散大,面部潮红,涎止,神志好转,呼之能应,有躁动不安。随改阿托品为 I learn your issue No. 4, 1981 “Acute organophosphorus pesticide poisoning of brain edema problem,” a text inspired to cure 1 such patients. Male, 19 years old, oral dichlorvos about 250 ml, 1 hour after the emergency hospital. Patients unconscious, mouth drool, miosis. neck(-). Breathing evenly, the lungs covered with blisters sound. Heart rate 60 times, rhythm, the valve did not smell and noise. abdomen(-). Test paper France check cholinesterase activity of 40%. Diagnosis of acute organophosphate poisoning. Treatment: Immediate gastric lavage, intramuscular injection of 3 mg of atropine sulfate, once every 5 minutes, phosphorus solution of 2 g was added to 5% glucose solution intravenous infusion. After using atropine 10 times, mydriasis, facial flushing, salivating only, consciousness improvement, call the energy should be, restless. With change atropine for