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病历简介患者,女,43岁。因与丈夫口角,口服氯丙嗪200片(50mg/片)后昏迷、大小便失禁2h,于1991年4月3日急诊入院。查体:T35℃,P54次/min,R16次/min,BP11/6kPa。深昏迷,面色苍白,瞳孔针尖大小,光反射消失,颈软,心肺(-),腹平软,两下肢肌张力增强,浅深反射消失,双侧巴氏征(+)。心电图示窦性心动过缓,部份ST段改变。化验。血K~+3.2mmol/L,Na~+、Cl~-、Ca~(2+)、CO_2CP值均正常。肝肾功能正常。诊断;氯丙嗪重度中毒。给予紧急洗胃,导泻(用番泻叶汁),吸氧,输液(加维生素C、ATP、肌苷、氯化钾),曾一度因呼吸慢且变浅而加用安纳咖0.5和可拉明0.375交替使用共6次,另用
Patient, female, 43 years old. Due to her husband’s mouth, oral chlorpromazine 200 (50mg / tablet) after a coma, incontinence 2h, on April 3, 1991 emergency admission. Physical examination: T35 ℃, P54 times / min, R16 times / min, BP11 / 6kPa. Deep coma, pale, pupil pinpoint size, light reflex disappeared, neck soft, cardiorespiratory (-), abdominal soft, enhanced muscle tension of both lower extremities, shallow depth reflex, bilateral Pakistan’s sign (+). ECG shows sinus bradycardia, some ST segment changes. assay. Blood K ~ + 3.2mmol / L, Na ~ +, Cl ~ -, Ca ~ (2 +), CO_2CP values were normal. Liver and kidney function is normal. Diagnosis; chlorpromazine severe poisoning. Give emergency gastric lavage, catharsis (with senna juice), oxygen, infusion (plus vitamin C, ATP, inosine, potassium chloride), once due to slow and shallow breathing plus Anatay 0.5 and Can be used alternately 0.7575 times 6 times, the other use