论文部分内容阅读
男,50岁,农民。1980年3月26日20时,误服大茶药(钩吻)汤2大碗(剂量28g),服药后约20分钟自觉呼吸困难,头晕眼花,视物模糊、心慌站立不稳而卧床休息。服药后约2小时由汽车送来抢救。入院时患者深度昏迷,全身抽搐,瞳孔散大,口吐白沫,小便失禁,心音微弱、呼吸心跳不规则,血压测不出,不久即眼球上翻,瞳孔散大,呼吸停止。当即行人工呼吸,高流量给O_2、洗胃,并分二路静脉给药;可拉明1.015g+洛贝林15mg+地塞米松15mg+10%葡萄糖液300毫升,10%葡萄糖盐水500毫升+多巴胺30mg+阿拉明30mg。在抢救中病情继续恶化,27日零时40分,呼吸停止90分钟后又发生心跳停止,立即心内注射心脏复苏三联针、心脏停跳20分钟后再出现复跳,同时进行气管插管,经过近7小时的心肺复苏术,患者又恢复了自主呼吸。自主呼吸恢复后
Male, 50 years old, farmer. At 20 o’clock on the March 26, 1980, the large bowl of medicine (kiss kiss) soup 2 large bowl (dose 28g), taking about 20 minutes after consciously breathing difficulties, dizziness, blurred vision, unstable palpitation and bed rest . About 2 hours after taking the medication sent by the car. Admission patients with deep coma, generalized convulsions, mydriasis, foaming at the mouth, urinary incontinence, weak heart sounds, irregular heartbeat, blood pressure can not be measured, and soon the eye turned up, dilated pupils, breathing stopped. Immediately artificial respiration, high flow to O_2, gastric lavage, and divided into two intravenous administration; Cloamine 1.015g + Lobeline 15mg + dexamethasone 15mg + 10% glucose solution 300 ml, 10% glucose saline 500 ml + dopamine 30mg + Alamin 30mg. Rescue in the condition continued to worsen, at 0:40 on the 27th, respiration stopped 90 minutes after the heartbeat stopped immediately heart cardioplegia triple needle, cardiac arrest 20 minutes after the resumption of the same time, endotracheal intubation, After nearly 7 hours of CPR, the patient resumed spontaneous breathing. After spontaneous breathing resumes