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在抢救口服有机磷农药中毒时,并发急性胃扩张的报道少见,现将我院遇到的3例报告如下。病历摘要例1:男,25岁,1982年6月1日服保棉丰10ml,经大量洗胃及解毒治疗,2天后好转。但随后频繁呕吐深棕色液体,腹胀,尿少。以胃管抽出黑色液2,000ml。6月5日转入我院。查体:T 37.5℃,BP100/70mmHg。重度脱水貌,双瞳孔4mm,心率130次/分,上腹部明显膨隆,有水震荡声。化验:血钠112.7mEq/L、钙4.5mEq/L、氯74mEq/L,BUN35mg%,CO_2CP 正常。诊断为有机磷中毒并急性胃扩张。行胃管持续胃肠减压,抽出黑褐色液体2.500ml,继用阿托品,纠正水、电
In the rescue of oral organophosphorus pesticide poisoning, complicated with acute gastric distension is rare, now our hospital encountered 3 cases reported as follows. Medical records summary Example 1: Male, 25 years old, June 1, 1982 served Paul cotton abundance 10ml, after a large number of gastric lavage and detoxification treatment, improved after 2 days. But then frequent vomit dark brown liquid, abdominal distension, less urine. Gastric tube extract black liquid 2,000ml. June 5 into our hospital. Examination: T 37.5 ℃, BP100 / 70mmHg. Severe dehydration appearance, double pupil 4mm, heart rate 130 beats / min, obviously bulging upper abdomen, water shock sound. Laboratory tests: serum sodium 112.7mEq / L, calcium 4.5mEq / L, chlorine 74mEq / L, BUN35mg%, CO_2CP normal. Diagnosed as organophosphate poisoning and acute stomach distension. Gastric tube continuous gastrointestinal decompression, dark brown liquid out of 2.500ml, followed by atropine, correct water, electricity