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病例 女,32岁,工人。因家庭纠纷而自行口服浓来苏儿150ml,约5min后呼之不应,20min送入急诊科。查体:T35.8℃,P125/min,BP11.0/5.OKPa(84/40mmHg),神志不清,呼之不应,昏迷状,双侧瞳孔 6mm,光反射迟钝,口腔粘膜外翻水肿,出血,有大量来苏儿气味,颈软,两肺可闻及痰鸣音,肝脾肋下触及,四肢腱反射消失。血气分析:PH7.340,PCO24.43Kpa(33.2mmHg),PP2 9.1KPa(68.2mmHg),HCO3 17.6mm/L,ABE-7.0MM/L,SBE-7.1mmL。心电图:(1)阵发性室上性心动过速;(2)频发室性期前收缩;(3)S-T段改变。诊断:来苏儿中毒。
Case female, 32 years old, worker. Because of family disputes and oral self-concentrated to Su children 150ml, about 5min after the call should not, 20min into the emergency department. Examination: T35.8 ℃, P125 / min, BP11.0 / 5.OKPa (84 / 40mmHg), unconsciousness, should not call, coma, bilateral pupil 6mm, light reflex, oral mucosal eversion Edema, bleeding, a large number of children to the smell of Sue, neck soft, both lungs can be heard and phlegm, liver and spleen ribs touch, limb tendon reflex disappeared. Blood gas analysis: PH7.340, PCO24.43Kpa (33.2mmHg), PP2 9.1KPa (68.2mmHg), HCO3 17.6mm / L, ABE-7.0MM / L, SBE-7.1mmL. ECG: (1) paroxysmal supraventricular tachycardia; (2) frequent ventricular contraction; (3) S-T segment changes. Diagnosis: to Soviet children poisoning.