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一、病例 朱×,女,31岁,已婚。1983年8月29日自服25%杀虫脒乳剂约100ml后一小时送来我院。 体检:昏迷,压眶与角膜反射消失,两瞳孔等大,圆,约4mm,对光反应迟钝。口唇轻度紫绀。血压160/100mmHg。呼吸表浅,24次/分。两肺未闻及干湿罗音。心率64次/分,律齐。腹部平软,肝脾未触及。两手指甲床苍白,全身皮肤湿冷。四肢腱反射消失,病理反射未引出。 住院经过:入院后当即以1:5000高锰钾溶溶洗胃,洗胃后,以胃管内注入50%硫酸镁40ml导泻,鼻导管吸氧,维生素C5g加入10%葡
First, the case Zhu ×, female, 31 years old, married. August 29, 1983 self-service 25% chlordimeform emulsion about 100ml one hour after I was sent to our hospital. Physical examination: coma, orbital and corneal reflex disappeared, two pupils and other large, round, about 4mm, slow reaction to light. Mild cyanosis lips. Blood pressure 160 / 100mmHg. Respiratory shallow, 24 beats / min. Both lungs did not smell dry and wet rales. Heart rate 64 beats / min, law Qi. Abdomen soft, liver and spleen not touched. Two-handed nail bed pale, wet and cold skin. Limb tendon reflex disappeared, pathological reflex did not lead. Inpatient after: immediately after admission to 1: 5000 high manganese potassium solution gastric lavage, gastric lavage, gastric tube into 50% magnesium sulfate 40ml catharsis, nasal catheter oxygen, vitamin C5g added 10% of Portuguese