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患者女性,20岁,既往无饮酒史。,因与家人发生口角后,50 min 左右服38度纯粮王白酒1 500 ml(3瓶),饮酒后1 h,于2003年9月21日下午4:10 min 就诊。患者呈深度昏迷状态,面色青紫,口唇发绀,双侧瞳孔散大(约4 mm),皮肤湿冷,全身肌肉松弛,深浅反射均消失。T:35.6℃,P:100次/min,BP:90/65 mmHg,R:14次/min。心肺听诊:心率100次/min,律齐,各瓣膜未闻及病理性杂音;呼吸频率约为14次/min,节律不均,呈陈—施呼吸,双肺听诊未闻及干湿性罗音。入院后立即用纳洛酮0.8 mg 加入于10%葡萄糖溶液20 ml 中,静脉推注1次,每隔15 min 1次,连用4次。后改用每小时静脉推注1次,用药8次。同时静脉给予0.9%生理盐水500 ml,10%葡萄糖1 500 ml,维生素 C 3.0 g,维生素 B_6 0.3 g,西米替丁1.6 g,10%氯化钾3.0
Patient Female, 20 years old, no history of drinking. , After having oral sex with his family, he took 1 500 ml (3 bottles) of pure white wine with 38 degrees of pureness for about 50 minutes and took medicine 1 h after drinking. He was treated at 4:10 min on September 21, 2003. Patients were deep coma, looking bruising, lips cyanosis, bilateral mydriasis (about 4 mm), skin wet and cold, body muscle relaxation, depth of reflex disappeared. T: 35.6 ° C, P: 100 times / min, BP: 90/65 mmHg, R: 14 times / min. Cardiopulmonary auscultation: heart rate 100 beats / min, law Qi, the valve is not known and pathological murmur; respiratory rate is about 14 times / min, uneven rhythm, was Chen - Shi breathing, lung auscultation was not known and wet and dry Luo sound. Immediately after admission with naloxone 0.8 mg added to 10% glucose solution 20 ml, intravenous bolus 1, once every 15 min, once every 4 times. After the switch to the intravenous bolus once per hour, medication 8 times. At the same time intravenous 0.9% saline 500 ml, 10% glucose 1 500 ml, vitamin C 3.0 g, vitamin B_6 0.3 g, cimetidine 1.6 g, 10% potassium chloride 3.0