论文部分内容阅读
患者,男,21岁。因误服汽油后上腹部不适、乏力5小时于1995年9月2日22时入院。入院前5小时,患者误吸汽油30ml,即刻恶心,非喷射状呕吐3次,为胃内容物,渐始上腹部隐痛、胸骨后烧灼感及周身乏力,未予处理。患者既往体健,无心肺疾病史,近期无呼吸道感染及药物服用史。查体:脉搏84次/分,血压15/10kPa,神志清,急性病容,口唇无紫绀,粘膜无糜烂,双肺无干湿罗音闻及,心界无扩大,心音有力,节律齐,各瓣膜听诊区未闻及杂音,腹平软,上腹部轻压痛,肝脾肋缘下未触及,无病理反射。给予综合性治疗。3日晨2时,患者感胸闷、心率56次/分,节律不齐,心电
Patient, male, 21 years old. Due to misdiagnosis of upper abdominal discomfort after gasoline, fatigue 5 hours at 22:00 on September 2, 1995 was admitted. Five hours prior to admission, the patient aspirated 30 ml of gasoline by mistake and was immediately nauseated. Non-jet-shaped vomiting was performed three times. As a result, the contents of the stomach gradually began to have pain in the upper abdomen, burning sensation in the chest and weakness in the whole body, which was left untreated. Past history of patients with no history of heart and lung disease, no recent history of respiratory infections and medication. Physical examination: pulse 84 beats / min, blood pressure 15 / 10kPa, clear consciousness, acute disease, no cyanosis of the lips, mucosa without erosion, no lung wet and dry lung smell, no expansion of the heart, strong heart sounds, rhythm Qi, each Valvular auscultation area did not smell and noise, abdominal soft, mild tenderness on the abdomen, liver and spleen ribs were not touched, no pathological reflex. Give a comprehensive treatment. 2:00 on the 3rd morning, the patient feeling chest tightness, heart rate 56 beats / min, arrhythmias, ECG