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例1:晁健,男,18岁,学生。住院号55508,“口服异烟肼(INH)98#4小时,昏迷、抽搐2小时”门诊洗胃后以“急性INH中毒”收住院。查体:T38°,P120次/分,R12次/分,Bp105/75mmHg,发育正常,营养一般,深昏迷状态,叹息样呼吸,全身强直样抽搐;球结合膜水肿,瞳孔约3mm大小,对光反射消失,颈软,双肺无干、湿啰音,心率120次/分,律整,心音低钝,四肢肌张力高,呈“铅管样”运动状态,病理征未引出。入院后给以速尿20mg静推,20％甘露醇250ml静滴,可拉明0.75,洛贝林6mg静注后,约30分钟呼吸改善。即建立两组静脉通道:一组降颅内压,抗生素预防感染,补液维持水电解质平衡;另一组10％GS500ml加入安定20mg静脉点滴(20～30滴/分),保持患者平稳状态。经治疗患
Example 1: Chao Jian, male, 18 years old, student. Inpatient No. 55508, “Inhaled Isoniazid (INH) 98 # 4 Hours, Coma, Twitch 2 hours” The patient was admitted to hospital for “acute INH poisoning” after gastric lavage. Physical examination: T38 °, P120 beats / min, R12 beats / min, Bp105 / 75mmHg, normal development, general nutrition, deep coma, sigh-like breathing, systemic twitch; ball conjunctiva edema, pupil size of about 3mm, Light reflex disappeared, neck soft, dry lungs, wet rales, heart rate 120 beats / min, rhythm, blunt heart sound, limb muscle tension is high, was “plumbous” movement, pathological levy did not lead. Admission to the furosemide 20mg static push, 20% mannitol 250ml intravenous infusion, pull 0.75 Lobei Lin 6mg intravenous injection, about 30 minutes to improve breathing. That is to say, two sets of intravenous channels were established: one set of intracranial pressure and antibiotics to prevent infection; the other set of 10% GS500ml added 20mg intravenous drip (20-30 drops / min) to maintain the patient’s stable state. After treatment