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患者,男,24a。原有精神分裂症3a。近20d,未服任何抗精神失常药物。入院前10h 即前一天晚饭前与其父顶嘴几句后,情绪异常。问其有无服农药,患者否定,后上床入睡。下半夜呼之不应。被家人抬入我院急诊科就医。查体深昏迷,面色苍白,肢体冷而湿,皮肤有汗。双瞳孔0.1cm,双肺湿罗音;心率110次/min,齐、无杂音。诊断为急性有机磷农药中毒(重度)?按口服有机磷农药中毒进行抢救。立即肌注阿托品20mg、洗胃、再静滴阿托品,9h 共用阿托品200mg、速尿20mg、西地兰0.4mg。面潮红、血压18/11kPa。四肢转暖、
Patient, male, 24a. Original schizophrenia 3a. Nearly 20d, did not take any antipsychotic drugs. 10h before admission, that is, the day before dinner the day before his father shut up a few words, emotional disorders. Ask whether it is served pesticide, the patient denied, go to bed and fall asleep. The call of the night should not. Family members into our emergency department for medical treatment. Physical examination deep coma, pale, limbs cold and wet, sweaty skin. Double pupil 0.1cm, lung wet rales; heart rate 110 beats / min, Qi, no noise. Diagnosis of acute organophosphorus pesticide poisoning (severe)? Oral organophosphorus pesticide poisoning for rescue. Immediate intramuscular injection of atropine 20mg, gastric lavage, and then intravenous infusion of atropine, 9h common atropine 200mg, furosemide 20mg, cedilanfallum 0.4mg. Face flushing, blood pressure 18 / 11kPa. Warming limbs