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患者男,38岁,职工。因食用野菜误食铃兰,半小时后频繁恶心呕吐、四肢麻木、呼吸困难、抽搐,于1992年4月29日急诊入院。查体:意识清楚,颜面苍白,烦躁不安,四肢发凉,时而两手抽搐,呼吸困难,有频死感觉。P 120次/分,脉律不整,BP 13/8kPa。心音钝,律不整,双肺呼吸音正常。心电图示急性心律失常,频繁房早二联律、室早二联律。诊断:铃兰中毒致急性心律失常。用温清水5000ml 洗胃、30g 硫酸镁经胃管导泻,按强心甙类中毒治疗。吸氧、苯妥英钠250mg 加入5%葡
Male patient, 38 years old, worker. Edible wild vegetables eat lily of the valley, half an hour after frequent nausea and vomiting, limb numbness, difficulty breathing, convulsions, in April 29, 1992 emergency admission. Examination: Consciousness, pale face, irritability, cold limbs, and sometimes hands twitching, breathing difficulties, there is a frequency of death feeling. P 120 beats / min, irregular pulse, BP 13 / 8kPa. Heart sound blunt, irregular law, lungs breath sounds normal. ECG showed acute arrhythmia, frequent room early couplets, room early couplet law. Diagnosis: Lily Poisoning induced acute arrhythmia. With warm water 5000ml gastric lavage, 30g magnesium sulfate by gastric tube catharsis, cardiac glycosides poisoning treatment. Oxygen, phenytoin 250mg added 5% of Portugal