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女患,37岁,农民,于11—03—20日晚7时口服安宁202片(0.2/片),时被夫发现时已昏迷,于晚11时来我院急诊,查体:体温37.5℃,脉搏120次/分,呼吸30次/分,血压8/5.3kPa,深昏迷,口唇发绀口吐白沫,两肺均布满中小水泡音及痰鸣音,心音低钝,心率120次/分,律整音纯,脉搏细弱,末梢发凉、尿少,皮肤发花,肝脾未触及,其它(-)。诊断为安宁中毒并发中毒性肺水肿及休克,经给于强心,纠酸,适当扩容去泡吸氧,兴奋呼吸,脱水解毒,控制感染等对症治疗,于次日清晨仍无好转,辅助检查:血常规红细胞4.5×10~(12)/L,血红蛋白150g/L,白细胞15.0×10~/L,尿常规(-),尿糖(-),心电正常,肝功正常,并经会诊,诊断同前,收缩压波动在.3—4kPa。又经应用美解眠,适量多巴胺阿拉明,待血压正常时加用脱水利
Female, 37 years old, farmer, 202 tablets (0.2 tablets / piece) orally taken at 7 o’clock on the 11-03-20, were comatose when they were found by the husband and came to our hospital at 11 o’clock in the evening. Physical examination: Body temperature 37.5 ℃, pulse 120 beats / min, breathing 30 beats / min, blood pressure 8 / 5.3kPa, deep coma, lips cyanosis vomiting foam, both lungs are covered with small and medium blisters and phlegm sound, low heart sound, heart rate 120 / Min, pure law sound, weak pulse, cold extremities, oliguria, hair loss, liver and spleen not touched, and others (-). Diagnosed as peace and poisoning complicated with pulmonary edema and shock poisoning, given to cardiac, correct acid, appropriate expansion to bubble oxygen, excite breath, dehydration and detoxification, infection control and other symptomatic treatment, the next morning still no improvement, auxiliary examination : RBC 4.5 × 10 ~ (12) / L, hemoglobin 150g / L, white blood cells 15.0 × 10 ~ / L, urinary routine (-), urine sugar (-), normal ECG, normal liver function, , The same diagnosis, systolic blood pressure fluctuations in .3-4kPa. After the application of the United States and sleep, moderate amount of dopamine Alamin, normal blood pressure plus dehydration