Objective To discuss the clinical features and treatment of pulmonary edema caused by acute organophosphate poisoning. Methods The symptoms and therapeutic results of 52 cases (1994.1～ 1998.12) of organophosphate poisoning complicated with pulmonary edema were summrized. Results The clinical features of pulmonary edema caused by acute organophosphate poisoning were atypical during early stage. 8 of 52 patients died (15.4％ ), and among this eight patients, 3 died of respiratory failure caused by pulmonary edema(5.8％ ). Conclusion The physician should pay more attention to pulmonary edema and diagnose it early in acute organophosphate paisoning.%目的探讨有机磷农药急性中毒并发急性肺水肿的机理、临床特点、影像学特征及治疗方法。方法分析 1994年 1月～ 1998年 12月间，经抢救和治疗的 52例有机磷农药急性中毒并发急性肺水肿患者的症状、胸部 X线摄片、诊断及治疗结果的临床资料。结果 52例患者中 44例（ 84.6％）治愈好转出院，死亡 8例（ 15.4％）。其中死于肺水肿致呼吸衰竭 3例 (5.8％ ).结论急性有机磷农药中毒并发急性肺水肿临床特点和 X线表现早期表现不明显，易被中毒的其它全身表现所掩盖。在治疗措施上 ,既要针对肺水肿的临床表现 ,又要考虑到原发疾病的病因治疗。
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