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内科学 有机磷农药中毒-吕玲 (英文)

上传者:苏堤漫步 |  格式:ppt  |  页数:22 |  大小:0KB

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c.upationalEnviromentalAbsorbandMetabolismAbsorb-Maybeabsorbedthroughrespiratoryordigestivetract-Alsothroughskin.Metabolism-Mainlyintheliver-byoxidation,detoxicationprocessesMechanismoftoxicactionTheAChE(acetylcholinesteraseofcholinesterase)binestheAChE,anophosphate-cholinesterase.causingacumilationofacetylcholine.ClinicalmanifestationsAcutepoisoning-Muscarinicsign:presentedwithconstraction,excessivelacrimalsecretion-Nicotinicsign:umulationof-CentralnervoussystemsignsAChEinneuromusculartransmissionDegreeofpoisoning-Mildpoisoning:Msign-Moderatepoisoning:Nsign,muscularfibrillation-a、pulmonaryedemabreathparalysis、anophosphateInducedDelayedPolyneuropathy(OPIDP)2~3weeks(4~45days)afterdisappearanceofacutesymptoms.ItisnotrelatedtotheinhibitionofChE,butisrelatedtoinhibitionofneuropathytargetedNTE.

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