【摘要】 目的 加强对大批量急性毒鼠强中毒的认识和救治水平。方法 分析同一时段来诊的259例毒鼠强中毒的临床特征和救治方法。结果 中毒途径为胃肠道，发病时间10min～2h内，主要表现为头晕、乏力、恶心、呕吐，重症为抽搐、昏迷。本组死亡18例，治愈率为93%。结论 急性毒鼠强中毒的临床表现以抽搐、惊厥为主，合并多脏器损害;治疗以止惊、保持呼吸道通畅为主，并予以血液净化等综合治疗。群体中毒时需合理调配大量医护人员积极抢救。

    Yang Shiyu，Qian Xiaoming，Wu Xuehao，et al.

    Emergency Department of Nangjing General Military Hospital，Nangjing210002.

    【Abstract】 Objective To enhance the understanding and the combined therapy of massive acute tetramine poisoning.Methods the clinical features and combined therapy were studied in259cases of acute tetramine poisonˉing whom were sent to the hospital in the same period of time.Results The poison was taken in by mouth.The time of outset was within10minute-1hour after poison gestion.The principal manifestations were dizziness ......