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患者男,42岁,昏迷在门窗紧闭的放有取暖煤炉的值班室内被人发现急送本院抢救.查深度昏迷.呼吸急促,阵发性抽搐,面色苍白,双瞳不等大,肺部呼吸音粗糙,可闻密集湿性罗音,心律齐.率110次/分.血压12/9.3kPa.诊断为急性重度一氧化碳中毒,并发脑水肿、肺水肿、中毒性休克.立即予吸氧、脱水、利尿、冬眠疗法、应用细胞色素C及能量合剂,抗休克、抗感染、保持呼吸道通畅等常规综合抢救措施,并于入院后3小时开始行换血疗法.共抽出患者血液1000ml、输入新鲜血液1080ml.经上处理,患者于入院后12小时清醒,40天痊愈,随访至今无任何后遗症.
Patient male, 42 years old, unconscious in the windows and doors closed with a warm stove on duty was found to be sent to hospital emergency rescue. Check the depth of coma. Shortness of breath, paroxysmal convulsions, pale, double pupil ranging from large, lung Department of rough breathing sounds, can be heard dense wet rales, heart rate Qi rate of 110 beats / min blood pressure 12 / 9.3kPa. Diagnosis of acute severe carbon monoxide poisoning, complicated by cerebral edema, pulmonary edema, toxic shock immediately to oxygen, Dehydration, diuretic, hibernation therapy, the application of cytochrome C and energy mixture, anti-shock, anti-infection, maintaining airway patency and other conventional comprehensive rescue measures, and 3 hours after admission line for blood transfusions were withdrawn from the patient’s blood 1000ml, 1080ml. After treatment, patients awake at 12 hours after admission, 40 days cured, no sequelae to date.