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病例摘要误服烟草液是一种罕见的神经毒剂中毒,我院曾收治一例误服大量烟草液中毒者.患者,男性,53岁,于1987年8月27日将切好的250g烟丝误作中药水煎后全部服下.用后出现大汗、恶心、“心难受”、腹部不适、全身无力、全身肌肉颤动、尿意及便意.3h后急诊入院.入院体检:体温35℃,脉搏60,血压20/10kPa,神志模糊,皮肤潮湿,被动体位,两侧瞳孔呈针尖样缩小,对光反射迟钝,压眶有反应,口唇发绀,两肺呼吸音粗糙,肺底闻及水泡音,心界无扩大,心率60,心律整,心音
Case Summary Inadvertently poisoned tobacco liquid is a rare nerve poison poisoning, our hospital had admitted a case of a large number of tobacco poisoning by mistake .Patients, male, 53 years old, on August 27, 1987 will be cut 250g tobacco mistakenly After the medicine was decocted, the whole body was taken down, and after sweating, nausea, “heart discomfort”, abdominal discomfort, general weakness, generalized muscle flutter, urinary intention and intention.3h after emergency admission, admission examination: body temperature 35 ℃, pulse 60, Blood pressure 20 / 10kPa, ambiguous, wet skin, passive position, both sides of the pupil was pinpointed narrow, slow light reflex, orbital reaction, lips cyanosis, rough breathing sounds of both lungs, lungs smell and blisters sound, heart No expansion, heart rate 60, heart rhythm, heart sound