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患者男性,71岁,急性有机磷农药中毒入院,给以阿托品100毫克加入5％葡萄糖盐水500毫升中缓慢静脉滴注,另用阿托品2毫克皮下注射。静滴阿托品约1小时(估计进入体内之阿托品约20毫克),患者出现烦燥不安,神志逐渐不清,心率增至150次/分,心律不齐,心电图频发室性早搏呈二联律。立即停止静滴阿托品,在心电监护下静脉推注利多卡因50毫克,使用后即恢复窦性心律,后又用利多卡因100毫克加入10％葡萄糖水500毫升中缓慢静脉滴注维持,患者心
Male, 71 years old, admitted to hospital with acute organophosphorus pesticide poisoning, given atropine 100 mg 5% dextrose in 500 ml slow intravenous infusion, the other with atropine 2 mg subcutaneous injection. Intravenous infusion of atropine for about 1 hour (estimated to enter the body of atropine about 20 mg), patients with irritability, consciousness gradually blurred, the heart rate increased to 150 beats / min, arrhythmia, ventricular premature ventricular contraction was ECG . Stop immediately intravenous atropine, intravenous injection of lidocaine 50 mg under ECG monitoring, after use to restore sinus rhythm, and then with lidocaine 100 mg of 10% glucose water 500 ml slow intravenous infusion to maintain the patient heart