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史××,男性,42岁,住院号123,281。1979年3月13日下午离家约3小时,被人发现躺倒在地震棚内,证实口服敌敌畏50克以上,于17点45分抬入急诊室。查体:血压100/60,脉搏113次,面色苍白,全身紫绀,阵发性抽搐,全身肌肉震颤。双侧瞳孔针尖大小,压眶上无反应,呼吸不规则,双肺布满水泡音,呈深度昏迷状态。即刻给予1:5,000高锰酸钾水溶液14,000毫升洗胃,先后给解磷定3克、11号急救解毒针3支、阿托品50毫克、654—260毫克、庆大霉素、西地兰、氢化可的松等药物静点。病情稳定后于21点30分转入病房,并继续给解磷定、阿托品治疗。14日晨5时呕吐较多量胃内容物,仍有敌敌畏味。6点清
History × ×, male, 42 years old, hospital number 123, 281. March 13, 1979 afternoon about 3 hours from their homes, was found lying in the earthquake shed, confirmed that oral doses of 50 grams of dichlorvos at 1745 hours Emergency room. Physical examination: blood pressure 100/60, pulse 113 times, pale, systemic cyanosis, paroxysmal convulsions, muscle tremors. Bilateral pupil needle size, no pressure on the supraorbital, irregular breathing, lungs filled with blisters sound, was a deep coma. Immediately give 1: 5,000 aqueous solution of potassium permanganate 14,000 ml lavage, was dephosphorization of 3 grams, No. 11 emergency detoxification needle 3, atropine 50 mg, 654-260 mg, gentamicin, cedilanid, hydrogenated Cortisone and other drugs static point. After the condition was stable, he was transferred to the ward at 21:30 and continued to be given phosphate and atropine. At 5:00 on the 14th, vomiting a larger amount of stomach contents, there are still enemies. 6:00 clear