论文部分内容阅读
例1,女,33岁。因服“灭害灵”(氯苄菊酯)250ml,患者出现多汗、呕吐3小时就诊.查体:血压100/70mmHg.神志淡漠,面色苍白,瞳孔等大。心肺(-)。门诊疑为有机磷中毒给予解磷定、阿托品静滴,硫酸镁口服。患者仍神志不清,血压90/70mmHg,心率110次/分。化验除血白细胞稍增多及尿中少许蛋白与脓细胞外,余均正常。8小时后停用阿托品及解磷定,仅输液及对症处理。10小时后神志清楚,但诉全身酸痛,4日后治愈出院.
Example 1, female, 33 years old. Due to service “delusional spirit” (benzylbenzyl) 250ml, patients with hyperhidrosis, vomiting 3 hours treatment. Physical examination: blood pressure 100 / 70mmHg. Indifferent, pale, pupils and other large. Cardiopulmonary (-). Outpatient suspected organophosphate poisoning given phosphate, atropine intravenous infusion of magnesium sulfate. Patients still unconscious, blood pressure 90 / 70mmHg, heart rate 110 beats / min. Laboratory blood leukocytes slightly increased and a little urine and pus in the urine, the more than normal. 8 hours after the withdrawal of atropine and phosphate solution, only infusion and symptomatic treatment. 10 hours after the conscious, but sued systemic pain, cured after discharge on the 4th.