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患者:女,8岁,因恶心、呕吐、多汗20分钟,于1999年9月6日3 pm来我院就诊。患者之母半小时前用敌敌畏15 ml左右加入少量水,涂抹于患者头上,目的是杀死头皮上的虱及其卵。涂抹后约15分钟患者感到恶心、呕吐、多汗、伴头昏、心慌等。立即来我院就诊。查体:T 36.8℃、R20次/分、P 50次/分、BP 8/12 kPa,营养一般,神志清,全身皮肤湿润。双侧瞳孔缩小(约2mm),对光反射好。头发湿,有刺鼻的农药味。双肺底可闻及少许湿罗音。心律齐、无杂音。腹软、无压痛。四肢关节活动自如,正常生理反射存在,病理反射未引出。诊断为:皮肤吸收有机磷农药(敌敌畏)轻度中毒。处理:①立即用肥皂水反复冲洗
Patients: Female, 8 years old, due to nausea, vomiting, sweating 20 minutes, at 6:00 on September 6, 1999 to our hospital. Half an hour before the patient with dichlorvos 15 ml or so by adding a small amount of water, smear on the patient’s head, the purpose is to kill the scalp and eggs. About 15 minutes after application, the patient feels nauseous, vomiting, hyperhidrosis, dizziness, palpitation and the like. Immediately to our hospital. Physical examination: T 36.8 ℃, R20 beats / min, P 50 beats / min, BP 8/12 kPa, nutritious, conscious, systemic skin moist. Bilateral miosis (about 2mm), good light reflex. Wet hair, pungent pesticide flavor. Double lungs can be heard and a little wet rales. Qi heart, no noise. Abdomen soft, no tenderness. Joint activities of the limbs freely, the normal physiological reflex exists, the pathological reflex did not lead. Diagnosis: Skin absorption of organophosphate pesticides (dichlorvos) mild poisoning. Treatment: ① Wash with soap and water repeatedly