1　病例报告患者女 ,45岁 ,因偏头痛多年。于 1999年 11月 6日 11∶30自服僵蚕粉 6 ｇ ,1ｈ后出现心慌 ,剧烈呕吐 ,呕吐物为胃内容物。 2ｈ后门诊部就诊时 ,意识清楚 ,烦躁不安 ,面色苍白 ,全身颤抖 ,血压为 0 ,心率 90 /ｍｉｎ呼吸 2 4/ｍｉｎ ,脉搏未触及 ,呈休克状态。立即? 1 Case report Female patient, 45 years old, with migraine for many years. At 11:30 on November 6, 1999, she served as a silkworm powder 6 g. After 1 h, she developed palpitation, severe vomiting, and stomach contents. After 2 hours at the outpatient department, she had clear consciousness, irritability, paleness, general trembling, blood pressure 0, heart rate 90/min breathing 2 4/min, no pulse, and she was in a state of shock. immediately?