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患者男,39岁。于1084年6月14日20时20分入院。入院前10～15分钟,该患者在饱食后服敌敌畏原液约100—120ml。检查发现:神志清醒,呼吸急促、烦躁不安,双瞳直径各约5mm,光反射良。未见流涎,两肺呼吸音粗,但未闻罗音。入院后立即静脉注射解磷定1g及阿托品2mg,并同时开始洗胃,但因系饱食后食物残渣过多,洗胃收效不佳。患者意识逐渐丧失,瞳孔明显缩小,各约为1mm,出现严重呼吸困难,明显流涎,两肺可闻干湿罗音。当即测脉搏180,出现明显的紫绀及大小便失禁。马上又静脉输注阿托品2mg,解磷定1g。立即去手术室,行胃切开,胃、十二指肠
Male patient, 39 years old. At 20:10 on June 14, 1084 admission. 10 to 15 minutes before admission, the patient after taking full dose of dichlorvos liquid about 100-120ml. Check found: conscious, shortness of breath, irritability, double pupil diameter of about 5mm, good light reflex. No drooling, two lungs breath sounds coarse, but did not hear Luo sound. Immediately after admission, intravenous injection of phosphorus-fixing 1g and atropine 2mg, and at the same time began to gastric lavage, but due to food after eating too much food residue, gastric lavage ineffective. Patients gradually lost consciousness, pupil was significantly reduced, each about 1mm, severe respiratory difficulties, significant salivation, both lungs can smell wet and dry rales. Immediate measurement of pulse 180, there was a clear cyanosis and incontinence. Immediately and intravenous infusion of atropine 2mg, phosphate solution set 1g. Immediately to the operating room, line gastrectomy, stomach, duodenum