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临床资料例1:女性,39岁,已婚。患者以“昏迷,抽搐1h”之代主诉收入院。患者于当日与家人吵架后,自服“三步倒”鼠药2包,服后4～5min即出现四肢抽搐,牙关紧闭,颜面紫绀,口吐白沫,呼之不应,抽搐频繁发作。既往无抽搐史,无癫痫史。查体:BP95/45mmHg,中度昏迷状,不断抽搐,抽搐持续时间4～5min,间隔1min左右。抽搐发作时牙关紧闭,口吐白沫,颜面紫绀,四肢呈痉挛状。双侧瞳孔直径2mm,等大正圆,光反射迟钝。颈硬,气管居中。双肺呼吸音粗,有广泛性痰鸣音,心率120次/min、律齐。诊断:重度毒鼠强中毒。入院后首先静注安定20mg,用5%GS500ml+安定80mg静滴,并调节滴数,以不出现抽搐为准,然后用30000ml清水(每次500ml)反复、彻底洗胃,洗胃过程中患者出现点头呼吸,立即在液体中加入呼吸兴
Clinical data Example 1: Female, 39 years old, married. Patients to “coma, convulsions 1h ” on behalf of the main complaint hospital. Patient on the day after a quarrel with his family, self-serving “three-step down” rat poison 2 packets, 4 to 5 minutes after serving the limbs appear twitching, tingling closed, facial cyanosis, foaming at the mouth, call should not, convulsions Frequent episodes. No previous history of convulsions, no history of epilepsy. Physical examination: BP95 / 45mmHg, moderate coma, continuous convulsions, convulsions duration 4 ~ 5min, interval 1min or so. Twitch attack when the mouth closed, foaming at the mouth, face cyanosis, limbs were spastic. Pupillary diameter of 2mm, such as large round, slow light reflex. Hard neck, tracheal center. Breathing sounds coarse lungs, with extensive phlegm sounds, heart rate 120 beats / min, law Qi. Diagnosis: Severe tetramine poisoning. After admission, first intravenous stability 20mg, with 5% GS500ml + stable 80mg intravenous drip, and adjust the number of drops to prevail without convulsions, and then with 30000ml water (500ml each) repeatedly, thoroughly gastric lavage, patients during gastric lavage Nod and breathe, immediately add breath in the fluid Hing