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本院治愈两例口服大量来苏尔中毒患者,兹举一例如下。女,24岁,服来苏尔50毫升后2小时被急送医院。查体:深昏迷,双侧瞳孔缩小,光反射减弱,深反射消失,呼吸微弱不规则,呈潮式呼吸,口唇青紫,血压130/100毫米汞柱,心音弱,心率100次/分,双肺大量痰鸣音。双下肢不自主抽动,余无异常。检验:白细胞17,600,中性90%,淋巴10%,二氧化碳结合力30.3容积%。在急诊室即给5/1,000过锰酸钾液鼻饲抽吸洗胃,洗后又用大量花生油注入胃内抽吸,先后约用500毫升。并在胃内留置100毫升。鼻饲大量鸡蛋清(15个),同时肌注可拉明、安息香酸、咖啡因各1支。开始因疑有脑水肿,给20%甘露醇100毫升一次静脉注射,促其脱水利尿,青、链霉素预防肺部感染,
The hospital cured two cases of oral administration to a large number of suer poisoning patients, give an example as follows. Female, 24 years old, served Surpur 50 ml 2 hours after being sent to hospital. Examination: deep coma, bilateral miosis, diminished light reflex, deep reflex disappeared, weak breathing irregular, was tidal breathing, lips purple, blood pressure 130/100 mm Hg, heart sound weakness, heart rate 100 beats / min, double Pulmonary phlegm mass. Lower extremities involuntary tic, I no exception. Tests: WBC 17,600, Neutral 90%, Lymph 10%, CO 3 binding capacity 30.3% by volume. In the emergency room that gives 5 / 1,000 potassium permanganate nasal suction pumping gastric lavage, after washing with a large amount of peanut oil into the stomach aspiration, has about 500 ml. And keep 100 ml in the stomach. Nasal feeding a lot of egg white (15), while intramuscular injection of cocaine, benzoic acid, caffeine each one. Initially due to suspected brain edema, 100% intravenous injection of 20% mannitol to promote dehydration diuretic, blue, streptomycin to prevent lung infection,