7/29/2019 Intoxicacion Por Organofosforados 2

1/9

83 rav) l`d) kac

Bitnxbd`dbi pnr nrj`inlnslnr`cnsUa vb st` 08 (0"7 83+25& 5=0=

BISNXBD@DBI ]NU NUJ@INLNTLNU@CNT

C J) Lz @) K)0'& F D) K J) K)5 C D) Lz @) K)4

0 Kcbdn Bitaribst`& Uasbcaita ca Uauk`tnfnj` Qibvarsbc`c Kbfbt`r Iuav` Jr`i`c`)5 Kcbd` Lbsb`tr` Hnspbt`f Kbfbt`r Daitr`f) 4 Kcbd` Bitari` Hnspbt`f T`i U`l`af ca Suig`& Qibvarsbc`c

]ac`jjbd` y Sadinfjbd` ca Dnfnkeb` Q]SD

Uasukai

Fns dnkpuastns nrj`inlnslnr`cns sni ui jrupn ca sust`idb`s nrjibd`s carbv`c`s ca f` astrudtur`

qukbd` caf lslnrn y tbaiai ui jr`i ikarn ca `pfbd`dbnias y utbfbc`cas) H`i sbcn utbfbz`cns dnkn

`cbtbvns caf patrfan& cbsnfvaitas& ai f`s bicustrb`s ca dnfnr`itas& e`ribdas& duarn `rtblbdb`f& `bsf`itas

afdtrbdns& bkparka`ebfbz`itas& ef`ic`cnras ca pfstbdns& luijbdbc`s& bisadtbdbc`s aitra ntrns) C`cn su

`kpfb` cbstrbeudbi y usn ai cblaraitas bicustrb`s y ai f` jrbduftur`& as kuy lraduaita qua sa prasaitai

bitnxbd`dbnias `ddbcait`fas pnr astns dnkpuastns? `caks& dnkn sni sust`idb`s qua asti `f `fd`ida

ca f`s parsni`s& h`i sbcn akpfa`c`s dnkn txbdns ai subdbcbns) Af du`crn ca bitnxbd`dbi jaiar` uisicrnka dfibdn d`r`dtarstbdn& dni sitnk`s dnfbirjbdns saduic`rbns ` f` astbkuf`dbi ca fns radap+

tnras ca `datbfdnfbi`) Af k`iagn kcbdn ca astns p`dbaitas puaca sbjiblbd`r f` cblaraidb` aitra f` vbc`

y f` kuarta& pnr fn qua as bkpnrt`ita qua tncn af parsni`f ca s`fuc ai fns sarvbdbns ca urjaidb`s ast

d`p`dbt`cn p`r` radnindar af du`crn ca bitnxbd`dbi y k`iag`rfn rpbc`kaita ai lnrk` `cadu`c`)

]`f`er`s df`va7 nrj`inlnslnr`cns& bitnxbd`dbi& datbfdnfbi`& datbfdnfbiastar`s`

NUJ@IN]HNT]HNUQT ]NBTNIBIJ

Tukk`ry

Nrj`inphnsphnrus dnkpnuics ra jrnup nl nrj`ibd suest`idas carbvac lrnk tha dhakbd`f strudtura

nl phnsphnrus) Shay h`va ` f`rja iukear nl `ppfbd`tbnis `ic utbfbtbas) Shay `ra usac `s nbf `ccbtbvas&

snfvaits& bi tha bicustry nl cyas& v`ribshas& rtblbdb`f fa`thar& afadtrbd`f bisuf`tbni& w`tarprnnlbij& pf`stbd

snltaiars& luijbdbcas `ic nthars) Jbvai bts wbca cbstrbeutbni `ic usa bi cbllarait bicustrbas `ic tr`cas&

nrj`inphnsphnrus dnkpnuics d`i ea t`oai `ddbcait`ffy d`usbij bitnxbd`tbni `ic d`i ea usac wbth

tha bitaitbni tn dnkkbt subdbca) Sha bitnxbd`tbni wbth nrj`inphnsphnrus dnkpnuics prncudas `

dh`r`dtarbstbd dfbibd`f syicrnka wbth dhnfbiarjbd sykptnks ltar stbkuf`tbni nl datyfdhnfbia radaptnrs)

Sha kacbd`f k`i`jakait nl thasa p`tbaits dnufc k`oa tha cbllaraida eatwaai fbla `ic ca`th& haida

tha physbdb`i `ic `ff ha`fth parsniiaf bi tha akarjaidy cap`rtkait shnufc ea `efa tn radnjibza `ic

k`i`ja pnbsnibij sykptnk`tnfnjy prnparfy)

Oaywnrcs7 nrj`inphnsphnrus& bitnxbd`tbni& datyfdhnfbia& `datyfdhnfbiastar`sa

' Dnrraspnicaidb`7 C`ibaf Lariicaz c`ibaflari`icazkcMjk`bf)dnk) Cbraddbi pnst`f7 Sr) 4 In)32+==) L`duft`c ca Kacbdbi`& Qibvarsbc`cKbfbt`r Iuav` jr`i`c`& Enjnt& Dnfnkeb`)Uadbebcn7 K`rzn 0= ca 5=0= @dapt`cn7 Guibn 01 ca 5=0=)

7/29/2019 Intoxicacion Por Organofosforados 2

2/9

Lariicaz C)& K`idbpa F)& Lariicaz C)

81\nfukai 08 In) 0 + Aiarn + Guibn ca 5=0=

BISNXBD@N ]NU NUJ@INLNTLNU@ CN

Uasukn

Ns dnkpnstns nrj`inlnslnr`cns sn uk jrupn ca suestidb`s nrjibd`s carbv`c`s c` astrutur` qu+

kbd` ca lslnrn a tak uk jr`ica ikarn ca `pfbd`as a usns) Sk sbcn utbfbz`cns dnkn `cbtbvns

p`r` fans& snfvaitas& bicstrb`s ca tbit`s& varibzas& dnurn `rtblbdb`f& bsnf`n aftrbd`& bkparka`ebfb+

z`n& `k`db`cnras ca pfstbdn& luijbdbc`s& bisatbdbc`s& aitra nutrns) C`c` ` su` `kpf` cbstrbeubn

a usn ak cblaraitas bicstrb`s a i` `jrbduftur`& kubtn dnkuk tar bitnxbd`as `dbcait`bs pnr assas

dnkpnstns& `fk cbssn& suestidb`s qua astn cbspnivabs p`r` ns bicbvcuns& tk sbcn us`c`s dnkn

suestidb` txbd` ak subdcbns) N qu`crn ca bitnxbd`n prncuz uk` sicrnka dfibd` d`r`dtarstbd`&

dnk sbitnk`s dnfbirjbd` saduicrbns astbkuf`n cns radaptnras ca datbfdnfbi`) @ dnicut` kcbd`

castas p`dbaitas pnca sbjiblbd`r ` cblarai` aitra ` vbc` a` knrta& pnr bssn bkpnrt`ita qua tncn n

passn`f ca s`ca ins sarvbns ca akarjidb` sag` trabi`cn p`r` radnihadar ` lbjur` ca bitnxbd`n a

r`pbc`kaita tr`t`r `caqu`c`kaita)

]`f`vr`s+dh`va7 nrj`inlnslnr`cn& bitnxbd`n& `datbfdnfbi`& `datbfdnfbiastar`sa

Bitrncuddbi

Fns dnkpuastns nrj`inlnslnr`cns sni staras caf dbcnlnslrbdn y ca sus carbv`cns& qua dnkp`rtai dnkn d`r`d+tarstbd` l`rk`dnfjbd` f` `ddbi ca bihbebr aizbk`s dni`dtbvbc`c astarsbd`& ks aspadlbd`kaita ca f` `datbfdn+fbiastar`s` ai f`s tarkbi`dbnias iarvbns`s& fn qua jaiar`ui` `dukuf`dbi ca `datbfdnfbi` y dnkn dnisaduaidb`sa `ftar` af luidbni`kbaitn caf bkpufsn iarvbnsn) Astns

dnkpuastns sni fbpnsnfuefas y vnftbfas& d`r`dtarstbd`squa l`dbfbt`i su `esnrdbi? su tnxbdbc`c as v`rb`efa (B& BB&BBB"& y fns aladtns l`rk`dnfjbdns v`r`i ca duarcn f jr`+cn ca tnxbdbc`c y v` ca aitr`c` ai af nrj`ibskn (0&5")Af du`crn ca bitnxbd`dbi pnr nrj`inlnslnr`cns jaiar`ui aspadtrn ca sbjins y sitnk`s d`r`dtarstbdn& dnindbcndnkn sicrnka dnfbirjbdn qua sa prasait` dnkn dni+saduaidb` ca f` axdasbv` astbkuf`dbi ca fns radaptnrasca `datbfdnfbi`& y qua sa d`r`dtarbz` prbidbp`fkaita pnrd`kebns ai af ast`cn ca dnidbaidb`& caebfbc`c kusduf`ry axdasbv` `dtbvbc`c sadratnr`) Af k`iagn npnrtuin caasta sicrnka as df`va p`r` avbt`r dnkpfbd`dbnias jr`vas

saduic`rb`s ` f` bitnxbd`dbi a bidfusn af dnkprnkbsnca f` vbc` caf p`dbaita (4")

C`cn qua ai Dnfnkeb` fns pf`jubdbc`s nrj`inlnsln+r`cns& ui jrupn ca dnkpuastns `ft`kaita txbdns&sni kuy utbfbz`cns aspadb`fkaita ai af d`kpn ca f``jrbduftur`& as kuy bkpnrt`ita dnindar dufas sni fnsprncudtns ks utbfbz`cns y dufas sni fns ibvafas catnxbdbc`c (S ef` 0") Fns ks us`cns partaiadai fns jru+pns lnsl`tns& fns lnsl`i`tns y sus carbv`cns zulr`cns)

]f`jubdbc`s

F` L@N (Lnnc ic @jrbduftura Nrj`ibz`tbni nl tha Qib+tac I`tbnis" calbia ui pf`jubdbc` dnkn ui` sust`idb`n kazdf` ca suest`idb`s castbi`c`s pravaibr& castrubrn dnitrnf`r du`fqubar pf`j`& bidfuyaicn vadtnras caailarkac`c huk`i` n `ibk`f& aspadbas bicasa`c`sca pf`it`s n `ibk`fas d`p`das ca d`us`r c`ns nbitarlarbr ca du`fqubar ntr` lnrk` dni f` prncuddbi&

prndas`kbaitn& `fk`dai`kbaitn& tr`ispnrta n kard`cnca fns `fbkaitns& ntrns prncudtns `jrdnf`s& k`car` ysus carbv`cns n `fbkaitns `ibk`fas& n qua puacai sar`ckbibstr`cns fns ibk`fas p`r` af dnitrnf ca bisadtns&`rdibcns u ntr`s pf`j`s ai sus nrj`ibskns (3&1")

Ai Dnfnkeb`& fns pf`jubdbc`s sni utbfbz`cns `kpfb`+kaita ai cblaraitas d`kpns& prbidbp`fkaita ai f``jrbduftur` p`r` kagnr`r f` d`fbc`c y f` d`itbc`c ca fns`fbkaitns& ` ibvaf cnkstbdn p`r` afbkbi`r bisadtns y` ibvaf ca f` s`fuc pefbd`& p`r` af dnitrnf ca vadtn+ras tr`iskbsnras ca ailarkac`cas) Aitra fns aladtns

`cvarsns qua sa puacai dbt`r asti f` dnit`kbi`dbi`kebait`f y f` tnxbdbc`c p`r` fns huk`ins)

Df`sbd`dbi ca fns ]f`jubdbc`s

F`s bitnxbd`dbnias pnr bisadtbdbc`s& aitra affns fnsnrj`inlnslnr`cns& h`dai p`rta ca f` fbst` ca avaitnsca intblbd`dbi nefbj`tnrb` ` ibvaf i`dbni`f) Ast`ssust`idb`s sa puacai df`sblbd`r saji su tnxbdbc`c& sui`tur`faz` qukbd` n su luidbi (

7/29/2019 Intoxicacion Por Organofosforados 2

3/9

8< rav) l`d) kac

Bitnxbd`dbi pnr nrj`inlnslnr`cns

Dsblbddbi saji tnxbdbcc7 p`r` su df`sblbd`dbisa tbaia ai duait` f` cnsbs fat`f 1= (CF1="& f` du`f sacalbia dnkn f` d`itbc`c ca ui` sust`idb` qua `f sarsukbibstr`c` ` `ibk`fas ca axparbkait`dbi k`t` `f1=! ca as` pnef`dbi (4") Ai Dnfnkeb`& af Kbibsta+rbn ca f` ]rntaddbi Tndb`f kacb`ita af cadratn 0834ca 0220& rajf`kait tncn fn raf`dbni`cn dni astnsdnkpuastns aitra affns af jr`cn ca tnxbdbc`c (S ef` 5")

@ ibvaf bitari`dbni`f ast ast`efadbcn qua fns aiv`sasy akp`quas ca pf`jubdbc`s caeai ffav`r ui` e`ic`caf dnfnr qua bcaitblbqua f` d`tajnr` tnxbdnfjbd` caf

dnitaibcn `s7 D`tajnr` B ; rng`& BB ; `k`rbff`& BBB ;`zuf y B\ ; varca (8")

Dsblbddbi saji su ituraz qukbd7 f` df`sb+lbd`dbi ca fns pf`jubdbc`s saji su nrbjai qukbdn ysus d`r`dtarstbd`s asti ai f` S`ef` 4 y puacai sar canrbjai i`tur`f& h`st` tnt`fkaita sbittbdns)

Dsblbddbi saji su luidbi7puacai sar bisadtbdb+c`s& luijbdbc`s& harebdbc`s y rncaitbdbc`s (3")

Bisadtbdbc`s7

Nrj`indfnr`cns7 aicri& `fcri& CCS& fbic`in&tnx`lain

Nrj`inlnslnr`cns7p`r`tbi& dfnrpyrblns& cb`zbini&cbdfnrvns& k`f`tbni& cbkatn`tn

D`re`k`tns7 `fcbd`re& d`renlur`i& prnpnxur& d`r+e`rbf)

]bratrbi`s y pbratrnbcas7 raskatrbi`& ebnraskatrbi`&`fatrbi`& cad`katrbi`& parkatrbi`)

Ntrns7 bvarkadtbi`)

Luijbdbc`s7

T`fas ca dnera7 nxbdfnrurn ca dnera y sufl`tn cadnera)

Carbv`cns ca f` lt`fbkbc`7 d`pt`lnf Cbibtrnlainfas7 cbibtrn+nrtn+drasnf Cbthbnd`re`k`tns7 k`iae& zbiae& k`idnzae)

S`ef` 0) Nrj`inlnslnr`cns ca k`ynr usn ai Dnfnkeb`)

D`tajnr`

Snxbdnfjbd`

Inkera

jairbdn

Inkera

dnkardb`f

B Cbdfnrvns Cbdfnrvns& \`pni`

B Kavbiphns Kavbilns

B Knindrntnlns Knindrntnlns

7/29/2019 Intoxicacion Por Organofosforados 2

4/9

Lariicaz C)& K`idbpa F)& Lariicaz C)

8:\nfukai 08 In) 0 + Aiarn + Guibn ca 5=0=

Harebdbc`s7

Ebpbrbcbfns7 p`r`qu`t& cbqu`t Jfblns`tn

Uncaitbdbc`s7

Binrjibdns7 sufl`tn ca tfbn& `ihcrbcn `rsaibnsn&lnslurn ca `fukbibn& lnslurn ca zbid)

Nrjibdns7`itbdn`juf`itas7 duk`rbi`s (Z`rl`rbi`")

Apbcakbnfnj`

Fns rapnrtas ca f` nrj`ibz`dbi kuicb`f ca f` s`fuc(NKT" kuastr`i qua iu`fkaita ibvaf kuicb`f& h`y`prnxbk`c`kaita ui kbffi ca bitnxbd`dbnias `ddb+cait`fas y cns kbffnias ca bitnxbd`dbnias prnvnd`c`s

(subdbcbns" dni bisadtbdbc`s& ca f`s du`fas `prnxbk`c`+kaita 5==)=== tarkbi`i ai f` kuarta (1")

@ pas`r ca qua ai Dnfnkeb` f`s bitnxbd`dbnias d`u+s`c`s pnr pf`jubdbc`s raprasait`i ui bkpnrt`ita prn+efak` ca s`fuc pefbd` caebcn fns kftbpfas usns caastns ai fns cblaraitas d`kpns& aspadb`fkaita ibvaf`jrdnf`s& f`s ast`cstbd`s snera f`s bitnxbd dbnias pnrnrj`inlnslnr`cns sni kuy e`g`s& caebcn prbidbp`f+kaita ` ui k`rd`cn suerajbstrn ai f` intblbd`dbica f`s bitnxbd`dbnias nd`sbni`c`s in sfn pnr astnsdnkpuastns& sbin t`kebi pnr f`s nd`sbni`c`s dni

ntr`s sust`idb`s (

7/29/2019 Intoxicacion Por Organofosforados 2

5/9

88 rav) l`d) kac

Bitnxbd`dbi pnr nrj`inlnslnr`cns

F` `datbfdnfbi` as ui iaurntr`iskbsnr qua bitar`dt`dni cns tbpns ca radaptnras pnstsbiptbdns (ibdntibdnsy kusd`ribdns"& y as raspnis`efa ca f` tr`iskbsbilbsbnfjbd` caf bkpufsn iarvbnsn ca7 `) F`s lber`s dnfb+irjbd`s pnstj`ijfbni`ras sbkptbd`s y p`r`sbkptbd`s` f`s dfuf`s aladtnr`s (radaptnras kusd`ribdns") e)F`s iaurni`s praj`ijfbni`ras ` f`s pnstj`ijfbni`rasai fns sbstak`s p`r`sbkptbdns y sbkptbdns (radap+tnras ibdntibdns") d) Fns iarvbns kntnras `f ksdufnasquaftbdn (radaptnras ibdntibdns") c) @fjui`s tarkb+i`dbnias iarvbns`s ai TID (04") Qi` vaz as fbear`c`y h` bitar`dtu`cn dni su radaptnr& f` `datbfdnfbi` ascastrubc` kacb`ita f` `ddbi ca f` aizbk` `datbfdn+fbiastar`s`& f` du`f ra`ddbni` dni af iaurntr`iskbsnrhbcrnfbzicnfn y prncudbaicn dnfbi` y dbcn `dtbdn&qua aitr`i `f pnnf kat`efbdn prasbiptbdn p`r` sarutbfbz`cns iuav`kaita)

K`iblast`dbnias dfibd`s

F`s bitnxbd`dbnias dni dnkpuastns nrj`inlnslnr`cnspuacai jaiar`r tras du`crns dfibdns7 f` bitnxbd`dbi`juc`& af sicrnka bitarkacbn y ui` iaurntnxbdbc`ct`rc`) Af du`crn ca bitnxbd`dbi `juc` jaiar` uidniguitn ca sbjins y sitnk`s cainkbi`cnssicrnkadnfbirjbdn af du`f sa prasait` dnkn dnisaduaidb` ca f`axdasbv` astbkuf`dbi ca fns radaptnras ca datbfdnfbi`&y qua sa d`r`dtarbz` prbidbp`fkaita pnr d`kebns ai afast`cn ca dnidbaidb`& caebfbc`c kusduf`r y axdasbv`

`dtbvbc`c sadratnr`) F` `p`rbdbi ca asta du`crn v`r`aitra pndns kbiutns h`st` cnda hnr`s pnstarbnr `fdnit`dtn dni af txbdn& capaicbaicn ca f` ac`c cafp`dbaita& f` d`itbc`c bijarbc` y f` tnxbdbc`c bitrisa+d` caf nrj`inlnslnr`cn (03"? ai fns ibns fns aladtnsibdntibdns sa nesarv`i dni k`ynr lraduaidb` qua aifns cuftns (01")

Ai f` t`ef` 3 sa rasukai fns du`crns dfibdns ca f`bitnxbd dbi juc`7 aladtns kusd`ribdns& ibdntibdnsy ai af sbstak` iarvbnsn daitr`f)

Afsicrnka Bitarkacbn `p`rada pnstarbnr fns aladtns`jucns& as cadbr 53 + 38 hnr`s caspus ca f` axpn+sbdbi& parn `itas qua f` iaurnp`t` rat`rc`c`? sad`r`dtarbz` pnr caebfbc`c ca fns ksdufns prnxbk`fasca f`s axtrakbc`cas& lfaxnras caf duaffn& faiju`& l`+rbija y ksdufns raspbr`tnrbns& dni dnkprnkbsn caf` luidbi raspbr`tnrb`& cbskbiudbi n `usaidb` cafns ralfagns kbntaicbinsns y dnkprnkbsn ca p`rasdr`ia`fas (prbidbp`fkaita af saxtn") Tu bidbcaidb` asca 1:&0! (03") @fjuins astucbns h`i knstr`cn qua

af sicrnka bitarkacbn sfn ndurra ai p`dbaitas dnibihbebdbi prnfnij`c` ca f` datbfdnfbiastar`s` y qua f`

prasaidb` caf sicrnka in capaica caf tbpn ca jaitatxbdn bivnfudr`cn (0

7/29/2019 Intoxicacion Por Organofosforados 2

6/9

Lariicaz C)& K`idbpa F)& Lariicaz C)

82\nfukai 08 In) 0 + Aiarn + Guibn ca 5=0=

cas`rrnffn psbdnkntnr& dni `ftar`dbi ca f`s pruae`siaurndnicudtu`fas (08")

Cb`jistbdn

Af cb`jistbdn bibdb`f sa ra`fbz` dni f` hbstnrb` dfibd`&kacb`ita f` snspadh` n dartaz` ca f` axpnsbdbi `ftxbdn& f` v` ca `esnrdbi y ui du`crn dfibdn dnk+p`tbefa) F` dnilbrk`dbi cb`jistbd` caea ra`fbz`rsabca`fkaita kacb`ita f` kacbdbi ca f` `dtbvbc`c caf` dnfbiastar`s`) Fns ibvafas ca dnfbiastar`s` v`r`ica ui bicbvbcun ` ntrn& pnr t`f r`zi sa radnkbaic`kacbr fns ibvafas ca ast` aizbk` ` f`s parsni`s quav`i ` ast`r ai dnit`dtn dni fns dnkpuastns nrj`+inlnslnr`cns& `itas ca qua sa bibdba f` axpnsbdbi `ast`s sust`idb`s (02")

Fns pf`jubdbc`s nrj`inlnslnr`cns cbskbiuyai f` `d+tbvbc`c t`itn ca f` dnfbiastar`s` pf`sktbd` dnkn caf` arbtrndbt`rb`? f` prbkar` sa radupar` ca lnrk` ksrpbc` (aitra 01 4= c`s" y f` arbtrndbt`rb` aitra = 2=c`s `prnxbk`c`kaita (5=") As bkpnrt`ita tnk`r aiduait` qua f` dtbvbc`c ca f` dnfbiastar`s` pf`sktbd`t`kebi puaca ast`r cbskbiubc` ai p`dbaitas dni ha+p`tbtbs dribd`& dbrrnsbs& ntr`s ailarkac`cas haptbd`sy ai dnisukbcnras ca crnj`s (50")

Axbstai du`trn tbpns ca ktncns p`r` cataddbi caf` `dtbvbc`c ca f` dnfbiastar`s`7 af afadtrnktrbdn&

af dnfnrbktrbdn& af dbitbdn y af tbitnktrbdn (50")Bca`fkaita radnkbaic`i kacbr f` `dtbvbc`c ca f` dn+fbiastar`s` arbtrndbt`rb` pnr af ktncn afadtrnktrbdnca Kbdhaf) Asta ktncn kbca af dbcn prncudbcn pnrf` ddbi ca f` datbfdnfbiastar`s` snera f` datbfdnfbi`ai trkbins ca d`kebn ca pH ai ui` snfudbi t`k+pi astic`r ai ui` hnr`) Fns v`fnras inrk`fas cadnfbiastar`s` ai s`ijra tnt`f& pnr asta ktncn sa h`icatarkbi`cn aitra 20+

7/29/2019 Intoxicacion Por Organofosforados 2

7/9

2= rav) l`d) kac

Bitnxbd`dbi pnr nrj`inlnslnr`cns

K`iagn Aspaddn

@trnpbi`7 sa utbfbz` p`r` af k`iagn ca fns aladtnskusd`ribdns pnr dnkpatbdbi ca radaptnras dni f``datbfdnfbi`) F` `trnpbibz`dbi caea bibdb`rsa ui` vaz

ast `sajur`c` f` v` `ra`) F` cnsbs bibdb`f as ca 0` 1 kj B\ (ibns =&=5 ` =&=1 kj.oj"& av`fu`icn f`raspuast` ` bitarv`fns ca dbidn ` cbaz kbiutns& eus+d`icn dnkn ju` tar`putbd` f` `p`rbdbi ca sbjinsca `trnpbibz`dbi dnkn `ukaitn ca f` lraduaidb`d`rcb`d`& cbskbiudbi ca sadradbnias raspbr`tnrb`s&kbcrb`sbs& rasaquac`c n inrk`fbc`c ca pbaf y kudns`s&y vbjbf`icn f` p`rbdbi ca ijbi`& axdbt`dbi ca nrbjaidaitr`f (cafbrbn& fudbi`dbnias" y rataidbi urbi`rb`) Aip`dbaitas dni bitnxbd`dbnias savar`s& pnstarbnrkaitasa puaca raquarbr ui jntan dnitiun ca trnpbi` aitra=&=0 y =&=8 kj.oj.h qua caear ratbr`rsa jr`cu`fkaita

p`r` avbt`r er`cb`rrbtkb`s (03")

Nxbk`s7 `dt`i kacb`ita f` ra`dtbv`dbi ca f` dnfbias+tar`s` afbkbi`icn su jrupn lnsl`tn) Bca`fkaita caeaisar akpfa`c`s ai f`s prbkar`s sabs hnr`s p`r` avbt`rf` uibi brravarsbefa aitra af txbdn y f` dnfbiastar`s`(43&41") @uiqua axbstai cblaraitas nxbk`s y prntndnfnsca `ckbibstr`dbi& f` ks akpfa`c` as f` pr`fbcnxbk`(`kp 0j.5= kf" ui` cnsbs ca 51 1= kj.oj (0 5 j"&cbfubcn ai 0== dd ca snfudbi s`fbi` =&2! p`r` p`s`r ai4= kbiutns& sajubcn ca ui` bilusbi dnitbiu` ` 8 kj.oj.h pnr 53 hnr`s (03& 4

7/29/2019 Intoxicacion Por Organofosforados 2

8/9

Lariicaz C)& K`idbpa F)& Lariicaz C)

20\nfukai 08 In) 0 + Aiarn + Guibn ca 5=0=

taiar prntndnfns df`rns qua parkbt`i erbic`r af kagnrk`iagn ` astns p`dbaitas p`r` avbt`r dnkpfbd`dbniasy.n saduaf`s) F` pravaidbi ca f`s bitnxbd`dbnias asntrn l`dtnr qua sa caea taiar ai duait`& sa puaca fnjr`rdni acud`dbi snera af k`iagn ca ast`s sust`idb`s y f`prnkndbi ca usn ca afakaitns ca prntaddbi)

Ualaraidb`s

0) Zasaf`o K& @reudofa S& Lnstar Z) ]astbdbca Axpnsuras `icCavafnpkait`f Nutdnkas7 Sha Apbcakbnfnjbd`f Avbcaida)Gnuri`f nl Snxbdnfnjy `ic Aivbrnikait`f Ha`ft) ]`rt E)5==:?0=730+8=)

5) \`fa G @) Snxbdnobiatbd `ic Snxbdncyi`kbd @spadts nl Nr+j`inphnsphnrnus Bisadtbdbca ]nbsnibij) Snxbdnfnjy Fattars)0228?0=57

7/29/2019 Intoxicacion Por Organofosforados 2

9/9

25 rav) l`d) kac

Bitnxbd`dbi pnr nrj`inlnslnr`cns

48) Accfastni K& Knh`kac L& C`vbas G& Ayar ]& Znrao L& TharbllK& Eudofay I)Uaspbr`tnry L`bfura bi @duta Nrj`inphnsphn+rus ]astbdbca Tafl+pnbsnibij) P G Kac) 5==