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神经毒剂暴露致神经系统损伤的防治研究进展OACHSSCD

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

中文摘要英文摘要

神经毒剂是以损伤胆碱能神经系统为主、导致靶器官损害并能在微量下致死的化学武器.神经毒剂或有机磷农药暴露可引起中枢及外周神经系统的急慢性损伤,进而引发急性胆碱能危象、中间综合征及有机磷所致迟发性神经病等病理改变.高剂量暴露可因呼吸困难或循环衰竭迅速致死.针对神经毒剂暴露后神经系统的应急管理与医疗处置,是应对潜在化学武器威胁、提升战场生存率的关键.该文系统梳理了神经毒剂的发展与分类、毒理机制、急慢性效应以及暴露预防与治疗等方面的国内外最新进展,以期为神经毒剂中毒的防治提供参考依据.

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.

王俣辰;刘勃志;倪子薇;吴菲菲;黄云强;吴昊;王亚云

空军军医大学基础医学院学员一大队,陕西西安 710032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延安大学基础医学院,陕西延安 716000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

医药卫生

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

nerve agentsorganophosphorus pesticidesacetylcholinecholinergic nervous systemacute cholinergic crisispost-exposure treatmenttoxicological mechanismsbattlefield first aid

《空军军医大学学报》 2026 (8)

1238-1248,11

国家自然科学基金青年科学基金(82201627)陕西省创新能力建设支持计划项目(2023-CX-PT-33)

10.13276/j.issn.2097-1656.2026.08.024

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