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神经毒剂暴露致神经系统损伤的防治研究进展

王俣辰 刘勃志 倪子薇 吴菲菲 黄云强 吴昊 王亚云

空军军医大学学报2026,Vol.47Issue(8):1238-1248,11.
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空军军医大学学报2026,Vol.47Issue(8):1238-1248,11.DOI:10.13276/j.issn.2097-1656.2026.08.024

神经毒剂暴露致神经系统损伤的防治研究进展

Advances in prevention and management of neurological injuries induced by nerve agent exposure

王俣辰 1刘勃志 2倪子薇 3吴菲菲 2黄云强 2吴昊 4王亚云2

作者信息

  • 1. 空军军医大学基础医学院学员一大队,陕西西安 710032
  • 2. 空军军医大学基础医学国家级实验教学示范中心,陕西西安 710032
  • 3. 延安大学基础医学院,陕西延安 716000
  • 4. 空军军医大学军事预防医学系军事毒理学与防化医学教研室,特殊作业环境危害评估与防治教育部重点实验室,陕西省自由基生物学与医学重点实验室,陕西西安 710032
  • 折叠

摘要

Abstract

Nerve agents are chemical weapons that primarily damage the cholinergic nervous system,leading to target organ injury and causing lethality even at trace doses.Exposure to nerve agents or organophosphorus pesticides can induce acute and chronic damage to both the central and peripheral nervous systems,thereby triggering pathological changes such as acute cholinergic crisis,intermediate syndrome,and organophosphate-induced delayed neuropathy.High-dose exposure may rapidly lead to death due to respiratory failure or circulatory collapse.Emergency management and medical intervention for neurological damage after nerve agent exposure are crucial for countering potential chemical weapon threats and improving battlefield survival rates.This article systematically reviews recent domestic and international advances in the development and classification of nerve agents,their toxicological mechanisms,acute and chronic effects,as well as exposure prevention and treatment,aiming to provide a reference for the prevention and management of nerve agent poisoning.

关键词

神经毒剂/有机磷农药/乙酰胆碱/胆碱能神经系统/急性胆碱能危象/接触后治疗/毒理学机制/战场急救

Key words

nerve agents/organophosphorus pesticides/acetylcholine/cholinergic nervous system/acute cholinergic crisis/post-exposure treatment/toxicological mechanisms/battlefield first aid

分类

医药卫生

引用本文复制引用

王俣辰,刘勃志,倪子薇,吴菲菲,黄云强,吴昊,王亚云..神经毒剂暴露致神经系统损伤的防治研究进展[J].空军军医大学学报,2026,47(8):1238-1248,11.

基金项目

国家自然科学基金青年科学基金(82201627) (82201627)

陕西省创新能力建设支持计划项目(2023-CX-PT-33) (2023-CX-PT-33)

空军军医大学学报

OACHSSCD

2097-1656

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