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病历患者,女性,19岁。于1977年8月8日上午11时许,误服杀虫脒与对硫磷(1605)原药混合液(1斤杀虫脒加“1605”原液1两左右)约50毫升后即昏睡于床,不省人事,30分钟后被送来急诊。体检:体温36℃,脉搏68次/分,血压110/70毫米汞柱,呼吸平稳,神志不清,皮肤苍白、湿冷,眼球固定,双侧瞳孔缩小如针尖,对光反射消失,口唇轻度紫绀,口角流涎,两肺闻有痰鸣音,心率68次/分,心音稍弱,律齐,无杂音,腹平软,肝脾不肿大,病理神经反射阴性。实验室检查:血、尿常规无异常。胃内容物有机磷定性试验(++)。诊断:有机磷、杀虫脒混合性中毒。
Patient, female, 19 years old. At about 11 o’clock on the August 8, 1977, about 50 ml of chloramine and parathion (1605) mixture of raw drugs (1 kg of chlordimeform plus “1605” stock solution about two) about sleeping in Bed, unconscious, was sent to the emergency department after 30 minutes. Physical examination: body temperature 36 ℃, pulse 68 beats / min, blood pressure 110/70 mm Hg, smooth breathing, unconsciousness, pale skin, wet and cold, fixed eyes, bilateral miosis, such as the tip of the needle, light reflex disappeared, lips mild Cyanosis, mouth drooling, both lungs have phlegm, heart rate 68 beats / min, heart sounds weaker, law Qi, no noise, abdominal soft, hepatosplenomegaly, pathological nerve reflex negative. Laboratory tests: blood, urine no abnormalities. Qualitative test of organophosphate in gastric contents (++). Diagnosis: organic phosphorus, chlordimeform mixed poisoning.