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敌敌畏中毒诊断不难,误诊为外科急腹症者少见,我们遇到2例,现报告如下。例1 女,16岁,住院号71579。因腹痛一天,伴恶心、呕吐急诊入院。急性痛苦病容。心肺未见异常。上腹部及右下腹部均有轻度压痛。白细胞14.4×10~9/L,中性粒细胞0.86。诊断:急性阑尾炎、急性胃肠炎,给予补液、抗感染及对症治疗。于入院后6小时患者突然昏迷,呼吸急促,双侧随孔缩小如针尖大小,胸腹部肌束震颤,两肺满布湿鸣,心音低钝,四肢肌张力减低,深、浅反射均消失。按重度敌敌畏中毒转内科治疗10天,痊愈出院。例2 女,22岁,住院号73360。因腹痛
Dichlorvos poisoning is not difficult to diagnose, misdiagnosed as surgical acute abdomen rare, we encountered two cases are as follows. Example 1 Female, 16 years old, hospital number 71579. Due to abdominal pain one day, with nausea, vomiting emergency admission. Acute pain and sickness. Heart and lung no abnormalities. Upper abdomen and lower right abdomen are mild tenderness. White blood cells 14.4 × 10 ~ 9 / L, neutrophils 0.86. Diagnosis: acute appendicitis, acute gastroenteritis, given rehydration, anti-infective and symptomatic treatment. 6 hours after admission, the patient suddenly coma, shortness of breath, both sides with the hole shrinking, such as the size of the tip, chest and abdomen muscle tremor, lungs covered with wet mute, low heart sound blunt, lower extremity muscle tension, deep and shallow reflex disappeared. Dichlorvos poisoning by severe medical treatment for 10 days, discharged. Example 2 Female, 22 years old, hospital number 73360. Because of abdominal pain