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1 病例介绍 患者,史××,女,38岁。因夫妻感情不合,丈夫发现妻子身上有农药味(乐果),误认为喝农药了,即刻用手掐刺激咽部呕吐一次为胃内容物后,约有半小时立即送往当地医院进行抢救。给予清水洗胃、吸氧、利尿、脱水、激素、能量合剂、输血(400ml)、阿托品、解磷定等药物治疗。当时病人神志清,一再否认喝农药。查体、神清、呼吸平稳,双侧瞳孔无明显中毒症状,阿托品用量5 mg静注10 min一次,约有40～50 min患者进入昏迷,双肺听诊无干湿罗音,皮肤潮红,双侧瞳孔4～5mm,对光反应(±),大夫误认为是阿托品不足,逐渐加大阿托品用量,分别20mg、40 mg、80 mg,静注15 min一次,自早10时10分到次日早8
1 case presentation patients, history × ×, female, 38 years old. Due to marital affability, the husband found his wife who had pesticide odor (dimethoate), mistakenly believe that drinking pesticides, and immediately pinch stimulated pharyngeal vomit once stomach content, about half an hour immediately sent to the local hospital for rescue. Giving clear water gastric lavage, oxygen, diuretic, dehydration, hormones, energy mixture, blood transfusion (400ml), atropine, phosphate and other drug treatment. At that time, the patient was conscious and repeatedly denied drinking pesticides. Physical examination, Shen Qing, smooth breathing, bilateral pupil no obvious symptoms of poisoning, atropine dosage of 5 mg intravenously 10 min time, about 40 ~ 50 min patients into a coma, lung auscultation dry and wet rales, skin flush, double Side pupil 4 ~ 5mm, the light response (±), the doctor mistakenly believe that atropine deficiency, and gradually increase the amount of atropine, respectively, 20mg, 40mg, 80mg, intravenous 15min once, as early as 10:10 to the next day As early as 8