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1病例报告例1患者女,68岁。口服氧化乐果约200ml后口吐白沫,意识丧失,急诊入院。入科时意识丧失,无自主呼吸及心搏,针尖样瞳孔。胆碱酯酶活性10%。立即清理呼吸道后气管插管,气囊辅助呼吸;持续胸外心脏按压;反复给予肾上腺素、阿托品、氯解磷定等药物。抢救15 min后,患者自主呼吸恢复,心率125/min,血压140/70mmHg。给予温水洗胃期间,患者生命体征较平稳。3h后,患者血压骤降,呼吸极微弱,双侧瞳孔散大约6mm,脑干反射消失,呈“脑死亡”状态,家属放弃治疗。
Case report 1 patient female, 68 years old. Oral omethoate about 200ml mouth spit foam, loss of consciousness, emergency admission. Into the Department of consciousness loss, no spontaneous breathing and heartbeat, needle-like pupil. Cholinesterase activity 10%. Immediately clear the endotracheal tube after intubation, airbags assisted breathing; continuous chest cardiac pressure; repeatedly given epinephrine, atropine, chlorpromazine and other drugs. Rescue 15 min after resumption of spontaneous breathing, heart rate 125 / min, blood pressure 140 / 70mmHg. During warm gastric lavage, the patient’s vital signs are smoother. After 3 hours, the patient’s blood pressure dropped suddenly and the respiration was extremely weak. The bilateral mydriasis was about 6mm, the brainstem reflex disappeared, and the state of “brain death” appeared. The family gave up the treatment.