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病例1,男,28岁,食生桃核仁约20余枚.2h后出现(口恶)心、频繁呕吐、持续性头痛.随后又出现精神不振,体乏无力,烦燥不安,心悸,呼吸急促,张口呼吸,呼气中有苦杏仁味,四肢阵发性痉挛.急送本科就诊.查体:T36℃,HR 65次/min,R 30次/min,BP 16/10kPa,神志清晰,精神萎糜,表情淡漠,全身皮肤无皮疹及浮肿.双侧瞳孔直径4mm,光反射稍迟钝.口唇发绀,舌质干燥.心肺未见异常征象.四肢肌张力增高,肌力V级.桡骨骨膜反射及膝腱反射减弱.Babinski征(一).实验室检查:血象:WBC1.8×10~9/L,N 78%,22%.电解质正常.血气分析:低氧血症,代谢性酸中毒.诊断为:生桃核仁中
Case 1, male, 28 years old, about 20 pieces of edible peach nucleolus .2h after (bad heart), frequent vomiting, persistent headache.Subsequently followed by sluggishness, lack of power, irritability, heart palpitations, Shortness of breath, mouth breathing, apricot breath expiratory, limbs, paroxysmal spasms. Hurry to undergraduate treatment. Examination: T36 ℃, HR 65 beats / min, R 30 beats / min, BP 16 / 10kPa, Spirit wilt, expression of indifference, no skin rashes and edema .Pilateral pupil diameter 4mm, light reflection dull .Lips cyanosis, dry tongue .Abnormal signs of heart and lung .Extract limb muscle tension, muscle strength V. Radial periosteum Reflex and knee tendon reflexes .Babinski sign (a). Laboratory tests: blood: WBC1.8 × 10 ~ 9 / L, N78%, 22% .Electrolyte normal blood gas analysis: hypoxemia, metabolic acid Poisoning. Diagnosis: peach kernel