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患者陈××,女,18岁。家人诉2小时前口服“杀虫脒”约20毫升,服后即去乡卫生院就诊,给予洗胃及阿托品10毫克静脉注射后转入本院急诊观察室。入院体检:体温37℃,脉搏102次,呼吸20次,血压110/70毫米汞柱。神清,烦躁、两侧瞳孔等大等圆,直径5毫米,口唇无紫绀,两肺未闻及干、湿罗音,心率:102次/分,无病理性杂音,腹软无包块,神经系统无异常。诊断:杀虫脒中毒,即给温水10,000毫升洗胃,50%葡萄糖40毫升+美蓝120毫克静脉注射6小时1次,共2次,静脉输液1,000毫升。入院
Patient Chen × ×, female, 18 years old. The family v. 2 hours ago oral “chlordimeform” about 20 ml, after going to the township hospital for treatment, giving gastric lavage and atropine 10 mg intravenous injection into our hospital emergency room. Admission medical examination: body temperature 37 ℃, pulse 102 times, breathing 20 times, blood pressure 110/70 mm Hg. Shen Qing, irritability, both sides of the pupil and other large circle, diameter 5mm, lips without cyanosis, both lungs did not smell and dry, wet rales, heart rate: 102 beats / min, no pathological murmur, Nervous system no abnormalities. Diagnosis: Chlordimeform poisoning, that is, warm water to gastric lavage of 10,000 ml, 40% 50% glucose + methylene blue 120 mg intravenously 6 hours 1, a total of 2 times intravenous infusion 1,000 ml. Admission