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患者男,55岁,蒙古族,农民。1993年8月29日,误服农药,当晚无中毒表现,其子未在意,次日上午见其卧床不起,神志恍忽,言语不清,医生按“敌敌畏”中毒给予“阿托品”注射,并输液二瓶,病情逐渐加重,于8月20日16时送我科。 查体:体温37.7℃,脉搏96次/分,呼吸24次/分,血压13.5/11千帕,发育营养佳,神志不清,呈深昏迷状,全身皮肤干燥,双眼球固定,双瞳孔直径为0.5cm,口鼻呼出似666农药样刺激性气味,颈软,两肺呼吸音粗糙,可闻及散在干罗音,心音低钝,律齐,各瓣
Male patient, 55 years old, Mongolian, peasant. August 29, 1993, mistakenly served pesticides, no toxic performance that night, his son did not care, see the bed the next morning, unconscious, slurred speech, the doctor according to “dichlorvos” poisoning given “atropine” injection, and Two bottles of infusion, the condition gradually aggravating, at 16 o’clock on the August 20 sent my family. Physical examination: body temperature 37.7 ℃, pulse 96 beats / min, breathing 24 beats / min, blood pressure 13.5 / 11 kPa, develop good nutrition, confusion, deep coma, dry skin, eyes fixed, double pupil diameter 0.5cm, mouth and nose exhaled like 666 pesticide-like irritating odor, neck soft, rough breathing sounds of both lungs, can be heard and scattered dry rales, low heart sound blunt, law Qi, the petals