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患者,女,35岁。因口服乐果二小时,昏迷半小时急诊入院。患者自服乐果原液100ml,约20分种后被家人发现,抬送本单位医务所,用洗胃机洗胃。首次灌入洗胃液1000ml,回吸300ml后不能继续抽出。一小时后转送某医院急诊科,途中患者意识丧失。在急诊科洗胃时,因胃管抽出鲜红色血液,即中止洗胃收入病房。入院查体:深度昏迷,双瞳孔2mm,对光反应迟钝,双肺底可闻及湿性罗音,腹部膨隆,叩呈鼓音,肝浊音界消失,移动性浊音(±)。可见肌肉震颤。胆硷脂酶活力:O。诊疗经过:入院后除鼻导管吸氧,反复静
Patient, female, 35 years old. Because of oral two hours of music, coma half an hour emergency admission. Patients self-service dimethoate solution 100ml, about 20 minutes after the family was found, carrying the unit medical office, gastric lavage with gastric lavage. The first infusion of gastric lavage 1000ml, back to suction 300ml can not continue to withdraw. An hour after the transfer to a hospital emergency department, patients lost consciousness on the way. In the emergency department gastric lavage, due to the tube out of bright red blood, that is, to stop gastric lavage income ward. Admission examination: deep coma, double pupil 2mm, unresponsive to light, the bottom of the lung can be heard and wet rales, abdominal bulge, knocking drum sound, disappeared liver dullness, mobility dullness (±). Muscle tremor can be seen. Cholesterol lipase activity: O. After treatment: nasal catheter after admission oxygen, repeated static