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患者女性,60岁,家庭妇女。据说鱼胆有清热明目之效,遂吞服生草鱼胆1枚,半小时后感头昏头痛,上腹绞痛,恶心、呕吐,吐出大量带苦味的胃内容物,继而腹泻7次,均为黄色水样便,量多。自服“氟哌酸0.2”后,吐泻停止,其余症状无减轻。3个半小时后再次呕吐,伴心悸、腰痛、大汗淋漓,昏倒在地,神志不清。被家人抬送本院就诊。查体:体温35℃,脉搏未扪及,血压测不出,呼吸30次/分,急性危重病容,神志不清,被动体位。全身皮肤湿冷,肢端温度低,皮肤无黄染,出血点。双侧瞳孔正圆等大,直径约1mm,对光反射存在,巩膜无黄染,唇干燥,唇、甲无发绀。颈软,双肺呼吸音低,未见心尖搏动,心率40次/分,律齐,心音极弱。腹平软,右上腹压痛,无反跳痛,肝脾来扪及,肠鸣音8次/分。双肾区叩痛。未引出病理反射征。
Patient female, 60 years old, housewife. Fish Gall is said to have the effect of heat and light, then swallow a grass carp 1, half an hour later, dizziness, headache, abdominal cramps, nausea, vomiting, spit out a large number of bitter stomach content, followed by diarrhea 7 times, All are yellow watery stool, quantity. Since serving “norfloxacin 0.2”, vomiting and diarrhea stopped, the rest of the symptoms without mitigation. 3 and a half hours later vomit again, palpitations, back pain, sweating, collapsed to the ground, unconscious. To be sent to our hospital by family members. Physical examination: body temperature 35 ℃, pulse not palpable, blood pressure can not be measured, breathing 30 beats / min, acute critically ill, unconscious, passive position. Cold and body skin, acral temperature is low, the skin without yellow dye, bleeding point. Pupils are round and so large, about 1mm in diameter, the presence of light reflex, sclera no yellow dye, dry lips, lips, A cyanosis. Soft neck, lung breath sounds low, no apical beats, heart rate 40 beats / min, law Qi, heart sounds very weak. Abdomen soft, right upper quadrant tenderness, no rebound pain, palpable liver and spleen, bowel sounds 8 times / min. Kidney area percussion pain. Did not lead to pathological reflex sign.