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患者马××,女性,19岁,回族,1987年7月17日口服混合农药(1605,马拉硫磷)约150m1 1小时后急诊入院。病情十分危重,病人呈深昏迷,双瞳孔缩小针尖样,皮肤及口唇重度絮绀,口鼻喷出粉红色泡沫样液。呼吸不均匀,四肢肌束颤动。全身抽搐。测BP为O1心音极低,双肺布大小水泡音。即给氧、下粗胃管电动洗胃,阿托静滴10mg、开辟二组输液,一组给阿托品155mg静滴,另组给速屎160mg,地塞米松20mg,甘露醇250ml,解磷定2g静滴,1小时后阿托品改为静滴5mg10′,直到下午五点,患者双瞳孔散大约8mm,血压回升至100/80mmHg,心率125次/分,双肺呼吸音粗,罗音基本消失,但病人全身仍湿冷,四肢肌束颤
Patient ××, female, 19 years old, Hui, July 17, 1987 oral mixed pesticides (1605, malathion) about 150m1 1 hour after emergency admission. The condition is very critical, the patient showed a deep coma, double pupil pinch-like, severe skin and lips cyanosis, pink and blue foamy liquid spray. Breathing unevenly, limbs fibrillation. Whole body convulsions. Measured BP O1 heart sound is very low, lung cloth size blisters sound. That is, oxygen, gastric electric gastric gastric lavage, Alto intravenous infusion of 10mg, open up two groups of infusion, a group to atropine 155mg intravenous infusion, the other group to speed feces 160mg, dexamethasone 20mg, mannitol 250ml, 2g infusion, 1 hour after the infusion of atropine 5mg10 ’, until 5:00 pm, the patient double pupil scattered about 8mm, blood pressure rose to 100 / 80mmHg, heart rate 125 beats / min, lung breath sounds rough, rales disappeared , But the patient’s body is still wet and cold, limb muscle bundle vibration