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一年来,笔者用东莨菪碱成功地抢救重度敌敌畏中毒3例。患者均为青、中年女性。例1因服利眠宁59片(每片10mg)、冬眠灵12片(每片25mg)后,又服敌敌畏(量不详)而致深度昏迷。给以大剂量阿托品为主的综合治疗(洗胃、扩容、纠酸、中枢兴奋剂、能量合剂)无效,且四肢抽搐频繁,呕吐不止;瞳孔右>左,血压70/40mmHg。除给升压、脱水治疗外,改用东莨菪碱6mg,每15分钟一次静注,10次后呼吸平稳,呼之可应,逐渐减量维
In the past year, the author successfully treated 3 cases of severe dichlorvos poisoning with scopolamine. Patients are young, middle-aged women. Example 1 due to service Lisomining 59 tablets (each tablet 10mg), winter sleep Ling 12 (25mg per tablet), but also serving dichlorvos (an unknown amount) caused by deep coma. Give large doses of atropine-based comprehensive treatment (gastric lavage, dilatation, acid correction, central stimulant, energy mixture) is invalid, and convulsions frequent limbs, vomiting more than; pupil right> left, blood pressure 70 / 40mmHg. In addition to boost, dehydration therapy, the switch to scopolamine 6mg, intravenous infusion every 15 minutes, 10 times after a stable breathing, call the response, the gradual reduction of dimension