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男性,37岁,农民,1987年5月10日因一小时前服乐果约150毫升急诊入院。查体:体温36.6℃,脉博80次/分,呼吸18次/分,血压25.3/13.3kpa(190/100 mmHg),昏迷,流涎,大汗,面部及口唇紫绀,肌肉震颤,双侧瞳孔缩小如针尖样,压眶无反应,两肺可闻湿性罗音,心率80次/分,律齐。立即吸氧,大量清水洗胃,阿托品2mg 每10分钟静脉推注一次,解磷定2克加入5%葡萄糖500 ml 中静脉滴注,入院4小时后,阿托品总量48mg,解磷定总量44克,病人神志已清醒,双侧瞳孔约4毫米,等大等园,对光反射存在,自诉腹疼、心慌。能进少量流质。阿托品开始减量为1 mg 每半小时静脉推
Male, 37 years old, farmer, May 10, 1987 About 150 milliliters of emergency service for one hour before admission. Examination: body temperature 36.6 ℃, pulse Bo 80 / min, breathing 18 beats / min, blood pressure 25.3 / 13.3kpa (190/100 mmHg), coma, salivation, sweat, facial and lip cyanosis, muscle tremors, bilateral pupils Reduced, such as tip-like, pressure orbital non-response, two lungs can smell wet rales, heart rate 80 beats / min, law Qi. Immediate oxygen, plenty of water, gastric lavage, atropine 2mg intravenous injection once every 10 minutes, phosphorus solution of 2 g was added 5% glucose 500 ml intravenous infusion, 4 hours after admission, the total amount of atropine 48mg, total phosphorus solution 44 grams, the patient consciousness has been awake, bilateral pupil about 4 mm, such as large garden, the presence of light reflex, suicidal abdominal pain, palpitation. Can enter a small amount of liquid. Atropine began to decrease by 1 mg intravenously every half hour