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患者女,22岁.于1992年4月25日16时许,自服粮食熏蒸剂磷化铝1片.半小时后当地医院洗胃.并补液.2小时后神志尚清,轻度烦躁,测血压为零.经扩容、纠正酸中毒,使用激素,并静滴多巴胺、阿拉明等治疗5小时,血压仍为零,意识逐渐不清,转来我院.既往健康.体检:T36.8℃,P110次/分,R24次/分,BPO.浅昏迷,皮肤冷,双侧瞳孔等大(0.3cm).对光反应存在.两肺闻少量痰鸣音,心音低钝,心率110次/分,律齐,无病理性杂音.腹软,肝脾未扪及,肠鸣音减弱,移动性浊音阴性.实验室检查:血红蛋白120g/L,白细胞12×10~9/L,中性0.70,淋巴0.30,血小板数125×10~9/L.出血时间2分.凝血时间3分.尿蛋白(+),红白细胞少许.胃液“OB”阴性.血尿素氮6mmol/L,血糖6.
Female patient, aged 22. At 16 o’clock on April 25, 1992, serving food fumigation agent aluminum phosphide 1. Half an hour after the local hospital gastric lavage and rehydration .2 hours after the conscious Shangqing, mild irritability, Measured blood pressure was zero. After the expansion, to correct acidosis, the use of hormones and intravenous infusion of dopamine, Alamin and other treatment for 5 hours, blood pressure is still zero, the consciousness gradually unclear, transferred to our hospital. Past health. Physical examination: T36.8 ℃, P110 beats / min, R24 beats / min, BPO. Coma, skin cold, bilateral pupils and other large (0.3cm). There is light reaction. / Min, law Qi, no pathological murmur.Routine, liver and spleen are not palpable, bowel sounds weakened, negative voiced negative.Laboratory examination: hemoglobin 120g / L, white blood cells 12 × 10 ~ 9 / L, neutral 0.70, lymphatic 0.30, the number of platelets 125 × 10 ~ 9 / L. Bleeding time 2. Clotting time 3. Urine protein (+), red and white cells a little gastric juice “OB” negative blood urea nitrogen 6mmol / L, blood glucose 6 .