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患者,女,46岁。自服666粉半碗6小时,曾用桐油催吐,呕出部分毒物,继而抽搐,在外院补液无好转。体查:体温37℃,脉搏110次,呼吸26次,血压120/70。神清合作,精神萎靡,面色苍白,脉搏细快,肢冷,四肢肌肉颤搐、颈软。肺部清晰,心率110次,心律齐,心音低钝。腹平软,肝脾未及。入院后经洗胃、肌注维生素B_1100mg、补液等处理,补液速度为每分钟45滴,补液300mi(糖盐各
Patient, female, 46 years old. Serving 666 powder bowl 6 hours, had used tung oil to induce vomiting, vomit out some of the poison, then convulsions, no improvement in the hospital rehydration. Physical examination: body temperature 37 ℃, pulse 110 times, breathing 26 times, blood pressure 120/70. Clear cooperation, apathetic, pale, pulse fast, cold limbs, muscle twitching limbs, neck soft. Clear lungs, heart rate 110 times, heart rate Qi, heart sound low blunt. Abdomen soft, liver and spleen not yet. After admission by gastric lavage, intramuscular injection of vitamin B_1100mg, rehydration and other treatment, rehydration rate of 45 drops per minute, rehydration 300mi