【摘要】 目的　探讨急性有机磷农药中毒并发中间综合征 (intermediatesyndrome ,IMS)的诊断与治疗。方法　回顾性分析 17例IMS患者的临床表现。结果　有机磷农药中毒并发IMS的患病率为2 .8% ;其呼吸肌麻痹症状出现在急性中毒后 10～ 72h ,9例于 5～ 12min内成功建立人工气道及机械通气 ,其中 7例治愈 ,另 8例因各种原因未及时应用该疗法而死亡。结论　IMS并非罕见 ,临床表现有特殊性 ,应提高认识 ,早期识别 ;建立人工气道与机械通气是抢救的重要方法。更多还原

【Abstract】 Objective To investigate the diagnosis and treatment of intermediate syndrome(IMS) after acute organophosphorus pesticides poisoning(AOPP).Methods 17 patients with IMS after AOPP were retrospectively analyzed.Results The occurrence of IMS was 2.8% in total 612 patients with AOPP.The majority of IMS cases were of severe oral AOPP.The respiratory muscle paralysis(RMP) was the most important sign for the diagnosis ,which appeared at 10～72 h after poisoning.9 patients were treated by means of urgent tracheal intubation and mechanical ventilation in 5～12 min,7 of them were cured;The other 8 patients died because of delayed treatment.Conclusion IMS is not a uncommon syndrome.There are some special clinical features such as RMP,which should be identified early.Urgent tracheal intubation and mechanical ventilation are important measures.更多还原