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患者女,34岁。因误服敌敌畏10毫升,50分钟后急诊入院。查体:神志不清,流涎,面色苍白,出冷汗,双瞳孔缩小,直径约1.5毫米。轻度呼吸困难,双肺闻及少量干、湿罗音,心率每分70次,心音低。除以上中毒症状及体征外,全身布满淡红色鳞屑斑,多呈钱币状,以四肢、腹部及头部为重。斑诊上覆盖银白鱼鳞屑,剥离后有薄膜及点状出血。追问其亲属,得知患者患牛皮癣10余年,常年发病,曾经多方治疗无效。
Female patient, 34 years old. Due to the accidental service of dichlorvos 10 ml, 50 minutes after emergency admission. Physical examination: unconsciousness, drooling, pale, cold sweat, double pupil narrowing, diameter of about 1.5 mm. Mild breathing difficulties, lungs smell a small amount of dry rape, heart rate 70 points per minute, low heart sound. In addition to the above symptoms and signs of poisoning, the whole body covered with reddish brown spots, mostly coin-shaped, with limbs, abdomen and head heavy. Spotted silver white fish covered scales, stripped after the film and punctate bleeding. Asked about their relatives, that patients suffering from psoriasis for more than 10 years, perennial disease, had multi-treatment ineffective.