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患者,女,36岁,自服阿米替林60片(1500mg)、三唑仑40片(10mg),半小时后发现昏迷,呈阵发性手颤、癫痫样抽搐2次,每次持续约4分钟,3小时后住院。体检:R24次/分,BP12/8kPa,呼吸不规则,深度昏迷,压眶反射消失,双侧瞳孔等圆等大,瞳孔约2mm,对光反射消失。口唇发绀,双侧肺干罗音,心律不齐,HR150次/分。膀胱区膨隆,叩诊音浊,四肢腱反射减弱。ECG示窦性心动过速,偶发室性早搏。头颅CT正常。立即洗胃、导泻、吸氧、置留导尿管,静点呼吸兴奋剂,强化利尿,促进药物排泄。脑细胞激活剂应用保
Patients, female, 36 years old, taking amitriptyline 60 tablets (1500mg), triazolam 40 tablets (10mg), half an hour later found coma, paroxysmal hand tremor, epileptic convulsions twice, each time continued About 4 minutes, 3 hours after hospitalization. Physical examination: R24 beats / min, BP12 / 8kPa, irregular breathing, deep coma, pressure orbital reflex disappeared, bilateral pupil circle and other large pupil about 2mm, the light reflection disappeared. Lips cyanosis, bilateral pulmonary lung rales, arrhythmia, HR150 beats / min. Bulging bladder area, percussion sound turbid, limb tendon reflexes weakened. ECG showed sinus tachycardia, premature ventricular premature beats. Head CT is normal. Immediate gastric lavage, catharsis, oxygen, leaving catheters, static point of respiratory stimulants, strengthening diuretic, and promote drug excretion. Brain cell activator application insurance