患者,女,22岁。于1979年3月30日中午服纯香蕉水(喷漆用的稀释剂)30余毫升,15分钟后出现头晕、头痛、胸闷、恶心、吐咖啡色液1次(约40～50毫升)、面色先潮红后转苍白、步态蹒跚、神志不清、说胡话等症状。5小时后送来抢救。检查:口腔内有芳香气味。血压75/50毫米汞柱,呼吸36次/分,脉搏84次/分。瞳孔对称性缩小,角膜反射迟钝。四肢凉,呈浅昏迷状态。二氧化碳结合力36容积%。治疗:先给予静脉注射阿托品1毫克(后改皮下注射),2小时内达7毫克;静脉滴注低分子右旋糖酐500毫升加葡萄糖醛酸内酯400毫克;继静脉注射5%碳酸氢钠溶液250毫升;给予可拉明0.375克和洛贝林5毫克每2小时交替皮下注射;并给予补充有效血容量、注射大剂量维生素C和氢化可的松、口服鸡蛋清、吸氧等处理。于当晚8时30分血压恢复正常(110/70毫米汞柱),面色转红润,四肢转温。次日 Patient, female, 22 years old. On March 30, 1979 at noon serving pure banana water (spray paint thinner) more than 30 ml, after 15 minutes dizziness, headache, chest tightness, nausea, spit brown liquid 1 (about 40 to 50 ml), looking first After flushing turned pale, gait hobbled, unconscious, nonsense and other symptoms. 5 hours after the rescue. Check: aroma in the mouth. Blood pressure 75/50 mm Hg, breathing 36 beats / min, pulse 84 beats / min. Pupil symmetry narrow corneal reflex slow. Cold limbs, was shallow coma state. Carbon dioxide binding capacity of 36% by volume. Treatment: intravenous injection of atropine 1 mg (after subcutaneous injection), 7 mg within 2 hours; intravenous infusion of low molecular weight dextran 500 ml plus glucurolactone 400 mg; following intravenous injection of 5% sodium bicarbonate solution 250 Ml; alternately given 0.375 g of cotrimoxazole and 5 ml of lobeline subcutaneously every two hours; and given supplemental effective blood volume, injection of high-dose vitamin C and hydrocortisone, oral egg white, oxygen and other treatment. At 8:30 that night, blood pressure returned to normal (110/70 mmHg), turning red and turning limbs. The next day