论文部分内容阅读
病例范××,男,35岁,未婚,与邻居口角,自服敌敌畏一口约10ml,医生立即给喷洒果树用0.5％硫酸铜一脸盆约5000ml催吐。查体:神志清,查体合作,瞳孔等大,约3.5mm,对光反射正常、无汗、无肌束震颤,心律整,心率80次/分,两肺呼吸音清,未闻及干湿性罗音,腹软,无压痛,未触及包块,肝脾未触及,脊柱、四肢活动正常,病理反射未引出。反复用清水洗胃,洗出大量蓝绿色液体后入院。按有机磷中毒处理,输液1500ml,无尿恶心、呕吐、面色苍白、呼吸急促、四肢冷潮、脉细弱而速,测血压11.9/6.6kPa(90/50mmHg)。按休克抢救无效而死亡。
Case × ×, male, 35 years old, unmarried, with the neighbors mouth, self-serving dichlorvos a mouth about 10ml, the doctor immediately sprayed fruit trees with 0.5% copper sulfate face basin about 5000ml emetic. Physical examination: conscious, physical examination, pupils and other large, about 3.5mm, normal light reflex, no sweat, no fasciculation, heart rate, heart rate 80 beats / min, breath sounds clear both lungs, Mooren rales, abdominal soft, no tenderness, no palpable mass, liver and spleen not touched, spine, limbs normal, pathological reflex did not lead. Repeatedly wash the stomach with water, wash out a large number of blue-green liquid after admission. According to organophosphate poisoning treatment, infusion 1500ml, no urine nausea, vomiting, pale, shortness of breath, cold limbs, pulse weak and fast, measuring blood pressure 11.9 / 6.6kPa (90 / 50mmHg). According to shock rescue died.