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氯仿在工业上作为清洗剂和溶剂,在医学上曾作为麻醉剂,其毒性颇大.现将我们近遇因口服而引起严重心律失常经抢救成功的1例报告如下.患者女性,27岁.因与家人争吵后自服氯仿,量约30ml,1h后急诊入院.过去无心脏病史.体检:神清,BP52/39mmHg(7/5.2kPa),躁动不安,面色苍白,肢体温冷,心率42次/min,无病理性杂音.心电图示Ⅱ度一型窦房阻滞,伴Ⅱ度一型房室阻滞.入院后给于洗胃、吸氧、肌注阿托品1mg,同时纠正心源性休克、酸碱失衡等治疗.0.5h心电图示室速和室上速,室率220次/min,给于利多卡因50mg,静脉注射5min 1
Chloroform in the industry as a cleaning agent and solvent, used as an anesthetic in medicine, and its toxicity is quite large now we have encountered serious arrhythmias due to oral success after the rescue was reported as follows: Female patients, 27 years old Quarrel with his family self-service chloroform, the amount of about 30ml, 1h after emergency hospitalization in the past without a history of heart disease. Physical examination: Shenqing, BP52 / 39mmHg (7 / 5.2kPa), restless, pale, limbs cold, heart rate 42 / min, no pathological murmur.Electrocardiogram shows a degree of a type of sinoatrial block Ⅱ, with a degree of Ⅱ atrioventricular block.After admission to the gastric lavage, oxygen, intramuscular injection of atropine 1mg, while correcting cardiogenic shock , Acid-base imbalance and other treatment .0.5 h ECG showed ventricular tachycardia and supraventricular tachycardia, room rate 220 beats / min, to lidocaine 50mg, intravenous injection 5min 1