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患者,女,47岁。患类风湿性关节炎23年,长期不规则服用治疗剂量雷公藤片和强的松。1993年7月6日9am,因与家人争吵自服雷公藤约120片。服药1小时患者出现恶心、呕吐、随即腹痛、腹泻、嚎叫、挣扎及胡言乱语等,当天未就医。次日11am去当地医院就诊,仅给予一般补液对症处理,因病情恶化于6pm送我院急诊科。入院时,神清、烦躁不安,呼吸急促,口唇紫绀,BP7/3.5kPa,HR110次/分,律齐,两肺未闻及干湿罗音。立即予以吸氧,低分子右旋糖酐等补液扩容,7pm患者烦躁加重,血压测不到,心电图示频繁室早伴短阵室速。病史发现24小时尿量不足100ml,急查血钾5.8mmol/L,BUN11mmol/L,遂予以利多卡因50mg加
Patient, female, 47 years old. Suffering from rheumatoid arthritis for 23 years, long-term irregular treatment doses Tripterygium tablets and prednisone. July 6, 1993 9am, because of quarrel with his family about three hundred and thirty Tripterygium. Patient 1 hour nausea and vomiting, abdominal pain, diarrhea, howling, struggling and nonsense, the day did not seek medical treatment. 11am go to the local hospital the next day, only to give symptomatic treatment of general rehydration, due to exacerbations at 6pm sent to our hospital emergency department. Admission, Shen Qing, irritability, shortness of breath, cyanosis of the lips, BP7 / 3.5kPa, HR110 beats / min, law Qi, both lungs did not smell and wet and dry rales. Immediately to oxygen, low molecular weight dextran and other rehydration dilatation, 7pm patients aggravate agitation, blood pressure can not be measured, ECG early with frequent ventricular tachycardia. History found that urine output less than 100ml 24 hours, acute potassium 5.8mmol / L, BUN11mmol / L, was given lidocaine 50mg plus