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患者男,37岁,住院号227166,民工.误服氯化钡(BaCl_2)约2g,2小时后恶心呕吐、头晕、全身麻木、四肢软弱无力,5小时后来院就诊,经洗胃后10小时收入住院.12小时出现胸闷、憋气、呼吸困难并伴有呼吸暂停,四肢软瘫,大小便失禁,言语不清.体检:急性病容.血压10.6/8.6k Pa(80/60mmHg)神志尚清楚,言语不清,呼吸浅慢无力,口唇紫绀,间有呼吸暂停现象.心率80次,心律不齐,频繁早搏,心音低钝,四肢肌力0度,腱反射消失.血清钾1.75mmol/L,ECG示:低钾及频繁双向性室早和Ⅱ度A—VB,Ⅰ型。
Patients male, 37 years old, hospitalization 227166, migrant workers. Inferior barium chloride (BaCl_2) about 2g, 2 hours after nausea and vomiting, dizziness, general numbness, limb weakness, 5 hours later to the hospital, after gastric lavage 10 hours Income in hospital .12 hours of chest tightness, suffocation, difficulty breathing and accompanied by apnea, limbs, paralysis, incontinence, verbal ill. Physical examination: acute disease .Hydrogram 10.6 / 8.6kPa (80 / 60mmHg) consciousness is still clear, Speechless, slow and weak breathing, cyanotic lips, breathing pauses between the heart rate 80 times, arrhythmia, frequent premature beats, low heart sounds, limb muscle strength 0 degrees, tendon reflex disappeared serum potassium 1.75mmol / L, ECG showed: low potassium and frequent bidirectional ventricular premature and Ⅱ degree A-VB, Ⅰ type.