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1病历摘要女,40岁。因自食野蜂蜜约50 g,出现胸闷、气促、心悸、恶心、呕吐、腹泻2 h入院,既往体健。查体:T 36℃,P 140次/min,R20次/min,BP80/40 mm Hg,神志清楚,表情淡漠,双瞳孔等圆等大,直径3 mm,光反射灵敏,双肺呼吸音清,可闻及大量细湿啰音,心界不大,HR140次/min,律齐未闻及明显杂音,腹软,全腹无压痛,肝脾未扪及,双下肢无水肿,神经系统未见异常。入院后立即查床旁心电图示:室性心动过速,诊断:急性
1 medical record summary female, 40 years old. Due to self-contained honey about 50 g, appeared chest tightness, shortness of breath, heart palpitations, nausea, vomiting, diarrhea 2 h admission, previous physical health. Physical examination: T 36 ℃, P 140 times / min, R 20 times / min, BP 80/40 mm Hg, clear consciousness, expression indifference, double pupil and other large circle, diameter 3 mm, light reflection sensitivity, , Can be heard and a large number of fine wet rales, little heart, HR140 times / min, law Qi unknown and obvious noise, abdominal soft, no tenderness in the whole abdomen, liver and spleen not palpable, no lower extremity edema, nervous system See abnormalities. Check bedside immediately after admission ECG: ventricular tachycardia, diagnosis: acute