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女患,30岁。自服乐果农药100ml 1小时于1993年3月18日入院。T36.8℃,P60次/min.R30次/min。BP16/10kPa。神志清,大汗,呼吸急促,流延,大小便失禁。双侧瞳孔直径1.5cm,等大等圆。肺闻消晰。心脏正常。腹软,肝脾未及。口角及四肢肌颤,四肢肌张力低。无病理征。chel2~μ,(血清纸片法,正常值30—80~μ)。立即予4万ml清水洗胃,输液,阿托品10mg/min静推1次,阿托品化后改5mg/2h维持用药。解磷3g/d,连用3天。入院第11天,患者下床活动后无不适,Che升至30~μ,故阿托品减至2mg/4h静点,10余小时后患者突感头晕胸闷,面色苍白,大汗及恶心呕吐,吐物有较浓蒜臭味。10min后意识
Female, 30 years old. Pediatric pesticide 100ml 1 hour since March 18, 1993 admission. T36.8 ° C, P60 times / min.R30 times / min. BP16 / 10kPa. Conscious, sweat, shortness of breath, casting, incontinence. Pupillary pupil diameter of 1.5cm, such as large circle. Lung Wen Wen clear. The heart is normal. Abdomen soft, liver and spleen not yet. Mouth and limb muscle fibrillation, limb muscle tension is low. No pathological sign. chel2 ~ μ, (serum paper method, the normal value of 30-80 ~ μ). Immediately to 40,000 ml water gastric lavage, infusion, atropine 10mg / min static push 1, atropine after the change 5mg / 2h maintenance medication. Phosphate 3g / d, once every 3 days. On the 11th day of admission, the patient did not get any discomfort after getting out of bed. Che increased to 30 ~ μ, so the atropine was reduced to 2mg / 4h. After more than 10 hours, the patient felt dizzy and depressed, pale, sweating and nausea and vomiting. There are more concentrated garlic smell. After 10min awareness