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本人在急诊室工作期间曾抢救一例杀虫脒重症中毒,因喉头或食道贲门痉挛水肿下胃管失败,当机用剖腹胃造瘘洗胃。由于我们护理人员的积极配合,使抢救成功,现报道如下: 患者,男,25岁,鹿城区南口乡南塘大队人。因酒后误服杀虫脒4两,于1986年6月20日下午3时急诊入院。检查T37℃,P76次/分,BP 13/8kPa,呼吸浅表不规则,深昏迷,双瞳孔0.16cm对称,口唇耳根及指甲发绀,无流涎出汗,无肌肉颤动,呼吸无蒜臭味。心率96次/分。律齐、心音略低钝,两肺痰鸣音,小便失禁。诊断:杀虫脒中毒(重症)。立即给氧,迅速建立静脉通道,补液、大量Vitc并用激素地塞米松10mg直接静注,再以10mg静滴,2％美兰60mg+50％GS 40ml静注。同时
I worked in the emergency room during the rescue had a case of chlordimeform severe poisoning due to larynx or esophageal cardia spasm edema gastric tube failure, when the machine with laparotomy stomach lavage. Due to the active cooperation of our nursing staff, so that the rescue is successful, are reported as follows: Patients, male, 25 years old, Nancheng Township Lucheng District Nantang brigade. Due to drunk mistaken eating chlordimeform 4 two, on June 20, 1986 at 3 pm emergency admission. Check T37 ℃, P76 beats / min, BP 13 / 8kPa, irregular superficial breathing, deep coma, double pupil 0.16cm symmetry, lip and ear nails cyanosis, no salivation sweat, no muscle fibrillation, no garlic odor. Heart rate 96 beats / min. Law Qi, heart sounds slightly blunt, lung phlegm, urinary incontinence. Diagnosis: Chlordimeform poisoning (severe). Immediately to oxygen, the rapid establishment of intravenous access, rehydration, a large number of Vitc and hormone dexamethasone 10mg direct intravenous injection, then 10mg intravenous infusion, 2% Meilan 60mg + 50% GS 40ml intravenous injection. Simultaneously