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患者,男,17岁。因腹泄6次,呕吐3次冷汗、气促、痰鸣5小时,于1981年12月14日凌晨1时急诊入院。患者三天前背着甲氨磷、乙基1605各2斤湿拌稻谷20斤装2小袋,步行1小时到田间杀野鸭,当时局部衣服湿透。次日无明显不适,仅大便溏2次,量少。13日下午出现恶心呕吐3次,呈黄水及食物残渣,腹泄加重,水样便4次,但无腹痛。曾在当地乡卫生院治疗未奏效,因冷汗淋漓,面色苍白,气促痰鸣,故而转送本院。 体检:T36 8℃、P76次/分。R32/分,Bp16/10kPa,神志清,精神倦怠。多汗皮肤湿冷,面色苍白面肌震颤,两瞳孔缩小如针尖,喉头痰鸣。心率76次/分,律齐,心音较低。两肺呼吸音粗糙,可闻痰鸣音。腹平软无压痛,肝脾未及。实验室检查:血常规正常,大便常规除少量白细胞及食物细胞外余均正常。胸透两肺纹理稍增强。
Patient, male, 17 years old. Due to the abdomen 6 times, vomiting 3 cold sweat, shortness of breath, phlegm 5 hours, at 14 o’clock on the December 14, 1981 emergency admission. Patient three days ago carrying methamidophos, Ethyl 1605 2 kg wet mix rice 20 kg loaded 2 sachets, 1 hour walk to the field to kill wild ducks, when the local clothes soaked. The next day no obvious discomfort, only stool 2 times, less. On the afternoon of the 13th, nausea and vomiting occurred 3 times, showing yellowish water and food residue. The excretion of the abdomen was exacerbated. The water sample was 4 times but no abdominal pain. Was treated in the local township hospitals did not work, because of cold sweat, pale, shortness of breath phlegm, so forwarded to our hospital. Physical examination: T36 8 ℃, P76 times / min. R32 / min, Bp16 / 10kPa, clear mind, mental fatigue. Hyperhidrosis skin is cold and cold, facial pale facial muscle tremor, two pupils narrowed as the tip, throat phlegm. Heart rate 76 beats / min, Law Qi, heart sounds lower. Breath sounds rough two lungs, phlegm can be heard sound. Abdominal soft tenderness, liver and spleen not yet. Laboratory tests: normal blood, stool routine addition to a small amount of white blood cells and food extrauterine normal. Breathing lungs texture slightly enhanced.