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例1,男,68岁。患者呈昏迷状态,皮肤湿冷,面色苍白。T36℃,P60次,R10次,BP10.7/5.33kPa。两侧瞳孔针尖大小,光反射消失,唇绀,口吐白色泡沫,潮式呼吸,双肺闻及广泛湿罗音,心音低钝,各种生理反射消失。有胃病史,近几天因胃痛服654-2等药效果不佳。拟诊有机磷农药中毒。后由其子代诉,患者于前一天因胃痛自服约蚕豆大小阿片膏一块,遂诊断阿片中毒,给呼吸兴奋剂等对症处理,2h后症状消失。
Example 1, male, 68 years old. The patient was unconscious, the skin was cold and pale and pale. T36 ℃, P60 times, R10 times, BP10.7 / 5.33kPa. Pupil needle size on both sides, the light reflection disappeared, cyanotic lips, vomit white foam, tidal breathing, lungs and widespread wet rales, low heart sound blunt, a variety of physiological reflex disappeared. A history of stomach, stomach pain in the past 654-2 and other drugs ineffective. To be diagnosed organophosphate pesticide poisoning. After its son sued, the patient on the day before due to stomachache about the size of opium ointment a piece of beans, then diagnosed opiate poisoning, symptomatic treatment of respiratory stimulants, 2h after the symptoms disappear.