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患者,男,40岁,因腹痛在某个体医就诊,予以服用砂仁、海螵蛸等中药若干及防腐剂亚硝酸钠(NaNO_2)约15克。十分钟后出现头晕、头痛、胸闷、气促,并迅速出现面唇青紫,急送来院。查体:神志清,精神萎糜,面部及口唇明显发绀,呼吸稍促,两肺无干湿性罗音,血压18.0/9.3kPa,心率97次/分,心律规则,无病理杂音、肝脾(-),四肢末端青紫显著。化验:Hb115g/L,WBC4.8×10~9/L,N63％,L32％,EKG示:ST段改变,左室高电压。立即予以静推美兰50mg加50％GS稀释,并洗胃,吸氧,静滴大剂量Vi+C等
The patient, male, 40 years old, was treated for some abdominal pain due to abdominal pain and was given about 15 grams of traditional Chinese medicine such as Amomum villosum and sea urchins and preservative sodium nitrite (NaNO_2). Ten minutes after the onset of dizziness, headache, chest tightness, shortness of breath, and rapid facial and bruising, urgent delivery to the hospital. Examination: conscious, spiritual wilt Mi, facial and lips obvious cyanosis, breathing a little faster, both wet and dry rales, blood pressure 18.0 / 9.3kPa, heart rate 97 beats / min, heart rate rules, no pathological noise, liver and spleen (-), bruising extremities significantly. Laboratory: Hb115g / L, WBC4.8 × 10 ~ 9 / L, N63%, L32%, EKG showed: ST segment changes, left ventricular high voltage. Immediately to push Simulacetin 50mg plus 50% GS dilution, and gastric lavage, oxygen, intravenous infusion of large doses of Vi + C, etc.