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患者女性,20岁,因产后1周、便秘5天,于1986年7月29日上午服草药“博落回”1碗导泻。0.5h后出现恶心,先后呕吐6次,晕厥10余次,于当日上午11时入院。体格检查:发育良好,神志清楚,面色苍白,表情痛苦,精神萎靡,四肢抽搐,T37.5℃,R24次/min,BP90/60mmHg,心浊音界不扩大,心律不齐,心率140次/min,心音强弱不等,无杂音,两肺呼吸音较粗,肝脾未触及。入院1h左右,血钾4.2mmol/L,血纳142mmol/L,血钙4.5mmol/L,3h后突然心跳骤停,心电图示扭转型室速(图略),经作体外心脏按压而恢复心律。临床诊断:“博落回”中毒,中毒性心肌炎。给大剂量阿托品等药物治疗。2天后心电图恢复正常。“博落回”(Macleaya Cordata)别名号筒杆、三钱三,为罂栗科草本植物,味
Female patients, 20 years old, 1 week postpartum, constipation 5 days, on July 29, 1986 morning herb herbal “Bo fall back” 1 bowel catharsis. After 0.5h nausea, vomiting has 6 times, syncope more than 10 times, at 11:00 on the day of admission. Physical examination: well-developed, conscious, pale, facial expression pain, apathetic, limbs twitch, T37.5 ℃, R24 times / min, BP90 / 60mmHg, heart dullness does not expand, arrhythmia, heart rate 140 beats / min , Heart sound intensity range, no noise, coarse lung breath sounds, liver and spleen not touched. Admission 1h or so, potassium 4.2mmol / L, 142a / L hemoglobin, serum calcium 4.5mmol / L, sudden cardiac arrest after 3h, electrocardiogram showed torsion VT (Figure omitted), by the extracorporeal heart pressure and restore heart rate . Clinical diagnosis: “Bo fall back” poisoning, toxic myocarditis. Give large doses of atropine and other drugs. 2 days after electrocardiogram returned to normal. “Macleaya Cordata” alias horn cylinder rod, three money three, for the poplar branch herb, taste