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急性中毒病例,在急诊中甚为常见。现就几种常见吞服中毒的诊断与处理论述如下: 急性酒精中毒一、诊断要点:①有大量饮酒史;②患者呼气和呕吐物中有酒精气味;③兴奋性症状:如欣快感,多语失礼貌,感情用事和面色改变等。血中酒精量约50ml;④共济失调现象:语无伦次,步态蹒跚,动作笨拙和晕倒等,血中酒精量约100ml;⑤昏睡期:呕吐、躁动、鼾声,二便失禁、呼吸不稳、昏睡、心率加速、血压下降,皮肤温冷、面色苍白或紫绀、瞳孔散大;甚至抽搐昏迷。严重者发生休克或呼吸衰竭.其血中酒精量>200ml;严重者可发
Acute poisoning cases, very common in emergency. Now on the diagnosis and treatment of several common swallowing poisoning are discussed as follows: Acute alcoholism First, the diagnostic points: ① a large number of drinking history; ② breath and vomit in patients with alcohol smell; ③ excitability symptoms: such as euphoria, Multilingual rudeness, emotional engagement and face change. Blood alcohol content of about 50ml; ④ ataxia: incoherent gait staggering, clumsiness and fainting movements, the amount of alcohol in the blood of about 100ml; ⑤ Sleeping period: vomiting, restlessness, snoring, incontinence, respiratory instability , Drowsiness, accelerated heart rate, blood pressure, cold skin, pale or cyanotic, mydriasis; or convulsions coma. Severe cases of shock or respiratory failure. The amount of blood alcohol> 200ml; severe cases can be made