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患者女,36岁,于半小时前自服呋喃丹(新型剧毒农药)粉剂约50克后,于1990年8月4日凌晨急诊入院。查体T:35.5℃;P:24次/分;BP:17.3/12.0kPa,神志恍惚,烦燥不安,全身皮肤潮湿,多汗,可见肌束震颤,双侧瞳孔缩小,对光反射差。双肺呼吸粗,心率120次/分,律齐。肱二、三头肌,膝腱反射减弱。诊断重度呋喃丹中毒。经反复洗胃约50000毫升,静推阿托品100毫克。无明显效果,病情渐加重。两小时后患者呈浅昏迷状态,呼之不应,压眶反射存在。7点30分患者呼吸不规则,血压13.3/0kPa。即刻给予静注尼可刹米、山梗菜硷、洛贝林,阿托品减为20mg
The female patient, 36 years old, was admitted to the hospital early on the morning of August 4, 1990, about 50 hours after taking carbofuran (a novel and highly toxic pesticide) powder about half an hour earlier. Physical examination T: 35.5 ℃; P: 24 beats / min; BP: 17.3 / 12.0kPa, trance, irritability, systemic skin moist, sweating, showing fasciculation, bilateral miosis, poor light reflex. Breathing coarse lungs, heart rate 120 beats / min, law Qi. Brachial, tricep, knee tendon reflex decreased. Diagnosis of severe carbofuran poisoning. After repeated lavage about 50000 ml, static push atropine 100 mg. No significant effect, the condition gradually increased. Two hours later the patient was shallow coma, call should not, pressure orbital reflex exists. 7:30 patients with irregular breathing, blood pressure 13.3 / 0kPa. Immediately give intravenous nikethamide, lobotine, Lobelin, atropine reduced to 20mg