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病例摘要患者,女,50岁。既往身体健康,无胃病史。于5月1日21时30分因和家人争吵自服磷化锌粉末约3g,于23时出现恶心,呕吐,呕吐物呈胃内容,伴头晕,上腹烧灼感,无呕血、便血、呼吸困难及抽搐昏迷等,于23时家人发现后立即来院。查体:T35.9℃、P75次/分、R24次/分、BP120/80mmHg。神清、表情痛苦全身皮肤粘膜无黄染及出血点。双肺无罗音,心音纯,律整,心率75次/分。肝脾未扪及,全腹无压痛及反跳痛。神经系统正常。入院诊断:急性磷化锌中毒。立即用1:5000过锰酸钾洗胃,并给予输液、利尿、能量合剂等治疗。5月2日上午8时自诉突然上腹痛,恶心未
Case Summary Female, 50 years old. Past health, no history of stomach. At 21:30 on May 1 due to quarrel with their families own service about 3g zinc phosphide powder, at 23:00 nausea, vomiting, vomit was stomach content, with dizziness, upper abdominal burning sensation, no hematemesis, blood in the stool, breathing Difficulties and convulsions coma, etc., at 23:00 when the family came to the hospital immediately after the discovery. Physical examination: T35.9 ℃, P75 beats / min, R24 beats / min, BP120 / 80mmHg. God clear expression of pain and skin mucosa without yellow dye and bleeding points. Lungs without rales, pure heart, law, heart rate 75 beats / min. Not palpable liver and spleen, the whole abdomen without tenderness and rebound tenderness. Nervous system is normal. Admission diagnosis: acute zinc phosphide poisoning. Immediately with 1: 5000 potassium permanganate gastric lavage, and given infusion, diuretic, energy mixture and other treatment. At 8:00 on May 2 private prosecution suddenly abdominal pain, nausea