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患者,男,26岁。因头痛、发热1月、右眼球突出并固定23天于1992年11月13日诊断海绵窦综合征入院。因持续头痛难忍,患者于住院第16天早晨7时50分一次顿服80余片盐酸二氢埃托啡(每片20μg)。8时30分钟发现后立即插胃管持续洗胃40余分钟,洗胃液近20000ml。洗胃过程中患者一直神志清楚,血压16/12kPa,呼吸20次/min,心率82次/min,未诉任何不适。9时10分患者突然颈项、全身肌肉强直,呼吸停止,意识丧失,唇绀。当即面罩混合给氧,人工呼吸,静脉注呼吸三联针(可拉明375mg、洛贝林10mg、利他林20mg),每5分钟一次。当第4次注射呼吸三联针后,患者肌强直明显加重,乃停用呼吸三联针,改用东莨菪碱0.3mg静注,每
Patient, male, 26 years old. Fever caused by headache, fever, right eyeball and fixed 23 days in November 13, 1992 diagnosis of cavernous sinus syndrome admission. Due to persistent headache, the patient dosed 80 tablets of dihydromorphine hydrochloride (20 μg per tablet) on the 16th day of the hospital at 0750 hours. 8:30 found immediately after gastric lavage gastric lavage continued for more than 40 minutes, gastric lavage nearly 20000ml. The patient has been conscious during gastric lavage, blood pressure 16 / 12kPa, breathing 20 beats / min, heart rate 82 beats / min, did not complain of any discomfort. At 9:10, the patient suddenly had a neck, his whole body was stiff, his breathing stopped, his consciousness lost, his lips cyanosis. Immediate mask mixed oxygen, artificial respiration, intravenous breath triple needle (Clarine 375mg, Lobelin 10mg, Ritalin 20mg) every 5 minutes. When the fourth injection of triple needle, the patient was significantly aggravated muscle strength, is disabled breathing triple needle, switch to scopolamine 0.3mg intravenously, each