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患儿,男,3岁。于1999年8月7日因误食拌有氟乙酰胺的黄瓜后,约10分钟后出现全身强直性抽搐,双眼凝视,口吐白沫。牙关紧闭,神志不清,四肢强直呈角弓反张状态。半小时后在当地卫生院经洗胃、止痉等治疗后,因病情无缓解4小时后转入我院。入院查体:T38℃,BP90/60 mmHg,心率150次/min,呼吸28次/min,深昏迷状态,频发抽搐,双侧瞳孔不等大,对光反射消失。EKG示窦性心动过速。查血:WBC19.81×10~9/L,N66.2%,L33.8%。肝肾功能、血压正常。诊断为重度氟乙酰胺中毒。治疗:
Children, male, 3 years old. On August 7, 1999 due to eating with fluoroacetamide cucumber, about 10 minutes after the onset of tetanic convulsions, eyes stare, foaming at the mouth. Tight shut, unconscious, limb stiffness was angular bow anti-Zhang state. Half an hour after the local hospital by the gastric lavage, antispasmodic treatment, due to the disease without remission 4 hours later transferred to our hospital. Admission examination: T38 ℃, BP90 / 60 mmHg, heart rate 150 beats / min, breathing 28 beats / min, deep coma, frequent convulsions, bilateral pupils ranging from large, light reflex disappeared. EKG showed sinus tachycardia. Check the blood: WBC19.81 × 10 ~ 9 / L, N66.2%, L33.8%. Liver and kidney function, normal blood pressure. Diagnosis was severe fluoroacetamide poisoning. treatment: