论文部分内容阅读
病历摘要患者王某,女,19岁.1984年2月18日上午8～11时先后3次服铁氰化钾共约85g,服药后口唇麻木、恶心、呕吐.呕吐物为胃内容物.11时30分入院抢救. 体检:体温37.8℃,脉搏130次,且细弱.呼吸28次,血压150/100.腹部压疼,肾区叩击痛.病理反射未引出. 治疗:吸氧,洗胃,冲洗液共30,000ml.同时静脉点注液体3,000ml,硫代硫酸钠4.8g,亚硝酸钠10mg并用抗生素预防感染.还应用了激素等综合抢救治疗,病情平稳.转病房观察16小时,无特殊变化停止治疗.21日(入院第三天)又出现恶心呕吐、腰痛、四肢无力、精神欠佳、颜面轻度浮肿、肾区触痛,且更明显.体温38℃左右,血压120/80,
Patient summary Wang, female, 19 years old. February 18, 1984 at 8 am to 11 am 3 times a total of about 800 grams of potassium ferricyanide, after taking the drug numbness lips, nausea, vomiting. Vomit for the stomach contents. 11:30 hospitalization. Physical examination: body temperature 37.8 ℃, pulse 130 times, and weak. Breath 28 times, blood pressure 150/100. Abdominal pressure pain, percussion pain in the kidney area. Pathological reflex did not lead. Treatment: oxygen, wash Stomach, rinse a total of 30,000 ml.At the same time the intravenous injection of liquid 3,000ml, sodium thiosulfate 4.8g, sodium nitrite 10mg and antibiotics to prevent infection.Also used hormone and other comprehensive rescue treatment, stable condition.With 16 hours observation, Nausea and vomiting, low back pain, limb weakness, poor health, mild swelling of the face, tenderness of the kidney area, and more obvious temperature of 38 ℃, blood pressure 120 / 80,