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病例摘要患者,女,17岁。因生气自服达普宋40余片(每片0.1g)。服后3h病人出现恶心、呕吐、头痛、头晕、胸闷并口唇、面颊、四肢末梢皮肤青紫,被发现后,急送附近医院,立即给予温水10000ml洗胃,症状未缓解而转我院。查体:血压17.33/10.66kPa,神志清,精神萎靡,呼吸急促,口唇紫,全身皮肤青紫,心肺(一)。实验室检查:血常规,Hb110g/L,RBC3.4×10~(12)/LWBC12.0×10~9/L,N70％,L28％。高铁血红蛋白测定1.6g/L,尿常规,蛋白少许,红
Case Summary Female, 17 years old. Due to angry self-service Dapu Song more than 40 pieces (each piece 0.1g). 3h after serving the patient nausea, vomiting, headache, dizziness, chest tightness and lips, cheeks, extremities skin bruising, was found, the emergency hospital, immediately give warm water 10000ml gastric lavage, the symptoms did not ease and transferred to our hospital. Physical examination: blood pressure 17.33 / 10.66kPa, conscious mind, apathetic, shortness of breath, lips purple, systemic skin bruising, cardiopulmonary (A). Laboratory tests: blood, Hb110g / L, RBC3.4 × 10 ~ (12) /LWBC12.0 × 10 ~ 9/L, N70%, L28%. Methemoglobin 1.6g / L, urine routine, a little protein, red