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例1:女,25岁。素体健。人院前一天服甲胺磷约5ml后,头痛,恶心,出汗,视物模糊。在当地用硫酸铜催吐,呕出深蓝色液体,用阿托品1mg肌注,每天4次,病情无好转,并出现上腹及腰背部疼痛。解酱色小便2次后无尿。体查:体温37.5℃,脉搏124次,呼吸20次,血压10.7/6.7kPa。急性重病容。面呈古铜色,贫血貌。皮肤巩膜轻度黄染。未见皮下出血点及瘀斑。瞳孔约为2mm=2mm,对光反射灵敏。唇紫绀。心肺腹(一)。双肾区压痛及叩击痛(+)。实验室检查:血红蛋白65g/L。红细胞2.1×10~(12)/L,白细胞18.6×10~9/L,中性90%,淋巴细胞10%。CHE58B比色法。尿暗红色,蛋白++++,隐血++++。给予阿托品、解磷定、升压、输液、利尿等治疗后,头痛、恶心 出汗均减轻,每天
Example 1: Female, 25 years old. Body health. The day before hospitalized methamidophos about 5ml, headache, nausea, sweating, blurred vision. In the local use of copper sulfate emetic vomit dark blue liquid with atropine 1mg intramuscular injection 4 times a day, the condition did not improve, and the upper abdomen and lower back pain. Solution 2 times after the pickled urine urine. Physical examination: body temperature 37.5 ℃, pulse 124 times, breathing 20 times, blood pressure 10.7 / 6.7kPa. Acute serious illness. Bronze surface, anemia appearance. Skin scleral mild yellow dye. No subcutaneous bleeding and ecchymosis. Pupil is about 2mm = 2mm, sensitive to light reflection. Cyanosis Cardiopulmonary abdomen (a). Kidney area tenderness and percussion pain (+). Laboratory tests: hemoglobin 65g / L. 2.1 × 10 ~ (12) / L of erythrocytes, 18.6 × 10 ~ 9 / L of white blood cells, 90% of neutral, 10% of lymphocytes. CHE58B colorimetric method. Urine dark red, protein ++++, occult blood ++++. Given atropine, phosphate solution set, pressure, infusion, diuretic and other treatment, headache, nausea and sweating were reduced every day