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血浆渗透压是由晶体和胶体渗透压组成。晶体渗透压的变化,能迅速显著地引起细胞内外体液紊乱。多种原因可以导致低渗血症(血浆渗透压<280mosm/L),如呕吐,腹泻、肺心病、肝硬化、脑炎等。若不及时发现纠正往往可造成严重后果。现报道1例在重度乐果中毒抢救过程中发生的重度低渗血症,以引起注意。患者女,16岁。1小时前自服乐果120m1急症入院。血压70/50mmHg,脉搏110次/分,呼吸30次/分,深昏迷,面青灰,球结合膜高度水肿,双
Plasma osmotic pressure is composed of crystal and colloid osmotic pressure. Changes in the osmotic pressure of the crystal can quickly and prominently cause disorder of the body fluid inside and outside the cell. Hypochlorosis (plasma osmolality <280 mosm / L) can be caused by a variety of causes such as vomiting, diarrhea, cor pulmonale, cirrhosis, encephalitis and the like. If not promptly found that the correction can often have serious consequences. Is reported in 1 case of severe dimethoate poisoning occurred in the process of severe hyponatremia to attract attention. Female patient, 16 years old. 1 hour ago since the service dimethoate 120m1 emergency admission. Blood pressure 70 / 50mmHg, pulse 110 beats / min, breathing 30 beats / min, deep coma, facial ash gray, ball conjunctiva highly edema, double