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患者,男,24岁,住院号1465。1988年4月25号凌晨2时自服苯巴比妥1000片(每片30mg),5小时后被家人发现即送当地医院。因深昏迷喉头水肿未洗胃,用美解眠、呼吸兴奋剂及补液和激素治疗。7小时后血压下降至70/50mmHg,以多巴胺、阿拉明维持血压在90~110/60~80mmHg。9小时后自主呼吸停止,即行气管切开,简易人工呼吸器维持呼吸转送我院。查体:体温不升,脉搏84次/分,人工呼吸18次/分,血压120/80mmHg。深昏迷,四肢厥冷,末梢发绀,眼球固定,瞳孔直径左0.5cm,右0.4cm,光反
Patient, male, 24 years old, hospitalized 1465. On April 25, 1988, at 2:00 am on April 25, 1988, 1,000 tablets of phenobarbital (30 mg per tablet) were given to the local hospital immediately after 5 hours. Because of deep coma laryngeal edema did not wash the stomach, with the United States Xie sleep, respiratory stimulants and fluid and hormone therapy. After 7 hours, the blood pressure dropped to 70 / 50mmHg, to dopamine, Alamin to maintain blood pressure at 90 ~ 110/60 ~ 80mmHg. 9 hours after the resumption of spontaneous breathing, tracheotomy, simple respirator to maintain respiratory transmission to our hospital. Physical examination: body temperature does not rise, pulse 84 beats / min, artificial respiration 18 beats / min, blood pressure 120 / 80mmHg. Deep coma, extremities Jueleng, peripheral cyanosis, fixed eye, pupil diameter of 0.5cm left, right 0.4cm, light anti