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本文报道一例患者黄某,男,40岁,农民,半月前因皮肤疥疮奇痒而用敌百虫涂皮肤杀虫止痒,五天后出现气短而急诊入院。入院时查神清,急性重病容,说话语音模糊。R42次、浅促,口唇发绀。胸式呼吸运动减弱,双肺呼吸音明显减弱。心脏听诊正常,诊断为敌百虫中毒致呼吸肌麻痹。即给予阿托品1mg 静注,每隔15分钟一次连续三次。经用药后,患者呼吸困难逐渐减轻,半小时后查 R24次,呼吸幅度增强,口唇发绀减轻,说话声音变清,继用阿
This article reports a case of a patient Hwang, male, 40 years old, farmer, a half months ago due to skin itchy scabies with trichlorfon coated skin insecticide itching, shortness of breath after 5 days and emergency admission. Check clear when admitted to hospital, acute serious illness, speech vague. R42 times, shallow, cyanotic lips. Thoracic respiratory motion weakened, lung breath sounds significantly weakened. Cardiac auscultation normal, diagnosed as trichlorfon poisoning respiratory muscle paralysis. Give atropine 1mg intravenous injection, every 15 minutes for three times in a row. After treatment, the patient gradually reduced breathing difficulties, check R24 after half an hour, breathing amplitude increased, lip cyanosis reduced, voice became clear, following the use of A