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患者女,23岁,口服80％敌敌畏约50毫升,4小时25分后来诊。代诉约服5分钟左右即出现口中流延增多,舌强。口吐大量泡沫样分泌物,伴烦躁不安。半小时后大小便失禁,全身大汗淋漓,四肢肌肉震颤,视物不清。无恶心、呕吐,约经40多分钟,逐渐不省人事。来珍时已昏迷,呼吸困难,面色灰暗,口唇发青紫,四肢凉。查体:呼吸38次/分。脉搏150次/分,血压90/50毫米汞柱。全身皮肤出汗潮湿。双侧幢孔明显缩小如针眼大小,对光反射及角膜反射迟顿。从口中可嗅及敌敌畏气味,四肢凉。两肺可闻及散在中小水泡音,
Female patient, 23 years old, oral 50% dichlorvos 80ml, 4 hours 25 minutes later. About 5 minutes on behalf of the suit that appears to increase the mouth of the mouth, tongue strength. Vomit a lot of foam-like secretions, with irritability. Half an hour after incontinence, sweating body, limb muscle tremor, depending on the material is not clear. No nausea, vomiting, about more than 40 minutes, gradually unconscious. To Jane has been unconscious, breathing difficulties, looking pale, lips bruising, cold limbs. Physical examination: breathing 38 beats / min. Pulse 150 beats / min, blood pressure 90/50 mm Hg. Whole body sweat and wet skin. Both sides of the hole was significantly reduced, such as the size of the eye, light reflex and corneal reflex postponed. Smell from the mouth and dichlorvos odor, cold limbs. Two lungs can be heard and scattered in small and medium blisters sound,