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1 临床资料患者,女,66岁。入院前3小时因腹痛口服自制“青豆”大小罂粟膏一块,致昏迷,不省人事,呼吸浅慢,四肢瘫软,被家人发现后,送入我院。查体:T35.9℃,P54次/分R8次/分,BP80/40mmHg(1mmHg=0.133kPa)。深昏迷,四肢厥冷,面部及肢体青紫。双瞳孔针尖样大小,对光反应迟钝。口唇发绀,口中无异味。颈软,无抵抗,颈静脉充盈。两肺呼吸音低,未闻及干湿(?)音。心率(HR)52次/分,心音低钝,心律不整,各瓣膜听诊区未
1 clinical data patients, female, 66 years old. 3 hours before admission because of abdominal pain oral self-made “green beans” the size of a poppy cream, caused by coma, unconsciousness, breathing slowly, limbs limp, was found by the family, into our hospital. Physical examination: T35.9 ℃, P54 times / min R8 times / min, BP80 / 40mmHg (1mmHg = 0.133kPa). Deep coma, extremities Jueleng, facial and limb bruising. Double pupil tip size, unresponsive to light. Cyanosis lips, no smell in the mouth. Neck soft, non-resistant, filling the jugular vein. Low breath sounds in both lungs, unheard of wet and dry (?). Heart rate (HR) 52 beats / min, low heart sound blunted, irregular heartbeat, the valvular auscultation area not