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保泰松急性中毒极少见。我科最近见到一例,现报道于下。张××(急诊号81-20715),女,39岁,因家庭纠纷一次吞服保泰松10g(0.1g/片,共100片),2小时后因上腹痛、呕吐、气促由厂保健站医师陪同来本院。体检:血压130/80,脉率120次,呼吸28次。平卧,神志淡漠,面色苍白,大汗淋漓,呼吸深快,心率120次,律齐,肺(一),腹软,肝脾未扪及。当即予洗胃及补液后,一般情况改善,呼吸逐渐平稳,下降为22次。两天后上腹胀痛及恶心加重,食欲极度减退并出现黄疸。实验室检查:血红蛋白8.4g/d1,红细胞380万,白细胞4,500,中性71％,淋巴28％,单核1％。尿常规(一),大便常规及隐血(一)。直接
Phenylbutazone acute poisoning rare. Our department recently saw an example, is reported below. Zhang XX (emergency number 81-20715), female, 39 years old, due to family disputes swallow Phenylbutazone 10g (0.1g / tablet, a total of 100 tablets), 2 hours later due to upper abdominal pain, vomiting, Health station physician accompanied to this hospital. Physical examination: blood pressure 130/80, pulse rate 120 times, breathing 28 times. Supine, conscious indifference, pale, sweating, deep breathing, heart rate 120 times, law Qi, lung (a), abdominal soft, liver and spleen not palpable. Immediately gastric lavage and fluid replacement, the general situation improved, breathing gradually stable, down to 22 times. Two days later abdominal pain and nausea aggravated appetite extreme decline and jaundice. Laboratory tests: hemoglobin 8.4g / d1, 3.8 million erythrocytes, leukocytes 4,500, 71% neutral, lymphatic 28%, mononuclear 1%. Urine (a), stool routine and occult blood (a). direct