论文部分内容阅读
患者女,22岁,农民,住院号156070。因空腹自服农药乐果100ml后出现恶心,面色苍白,口吐白沫,随后神志不清。约10分钟后送往当地卫生院。测血压9/6kPa,瞳孔针尖状大小,中度昏迷。立即行洗胃、抗休克、静注阿托品、解磷定等治疗后,病人开始清醒。于中毒后36小时转入我院。查体:神清合作,BP15/7kPa,P108次/分,T37.6℃,心律齐;血胆碱酯酶Ou(健康人对照60u)。患者入院第二天病情加重,神志不清;采用反复洗胃、大量阿托品静注、输新鲜血等,胆碱酯酶多次检查仍为0u,先后共用阿托品28400mg,输新鲜血2400ml,病情一直危重。中毒第八天出现呼吸肌麻痹,
Female patient, 22 years old, farmer, hospital number 156070. Due to fasting serving pesticide dimethoate 100ml nausea, pale, foaming at the mouth, then unconscious. About 10 minutes later sent to the local hospital. Blood pressure 9 / 6kPa, pupil needle-like size, moderate coma. Immediate gastric lavage, anti-shock, intravenous atropine, phosphate and other treatment, the patient began to awake. 36 hours after poisoning into our hospital. Examination: Shenqing cooperation, BP15 / 7kPa, P108 times / min, T37.6 ℃, heart rate Qi; blood cholinesterase Ou (healthy control 60u). Patients admitted to the hospital the day after illness aggravated, confusion; repeated gastric lavage, atropine intravenous infusion, lose new blood, cholinesterase multiple tests still 0u, has shared atropine 28400mg, lost blood 2400ml, the disease has been Critical. On the eighth day of poisoning respiratory muscle paralysis,