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例1:女,未婚,22岁,服氯氮平约80片(2000mg)2小时入院。平素身体健康,但其父有精神分裂症。门诊用清水洗胃后送入病房。体温36.7℃,脉搏152次,呼吸20次,血压15/8.5kPa。浅昏迷,时有抽搐。两瞳孔等大等圆,光反射极弱。瞳孔直径缩小,约2mm,巩膜无黄染,皮肤湿腻,口吐白沫,两肺呼吸音粗。心律齐,腹软,肝脾不大,左侧弋登氏征(+),余病理反射未引出。尿失禁,住院5小时后体温升到38℃,最高达40.3℃,两肺出现湿罗音。血压低达11/8.1-kPa。
Example 1: Female, unmarried, 22 years old, taking clozapine about 80 tablets (2000mg) 2 hours admission. Usually healthy, but his father has schizophrenia. Outpatient rinse with water into the ward. Body temperature 36.7 ℃, pulse 152 times, breathing 20 times, blood pressure 15 / 8.5kPa. Shallow coma, sometimes convulsions. Two pupils and other large circle, light reflection is very weak. Pupil diameter reduced, about 2mm, scleral no yellow dye, wet skin, foaming at the mouth, both lungs sound rough tone. Qi heart, abdomen soft, small spleen and liver, left Deng Deng’s sign (+), the remaining pathological reflex did not lead. Urinary incontinence, body temperature rose to 38 ℃ 5 hours after hospitalization, up to 40.3 ℃, wet lungs appear in both lungs. Blood pressure is as low as 11 / 8.1-kPa.