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患者,女,44岁,农民。因生气后自服朱砂25克(硫化汞),服后一小时出现恶心、呕吐、腹痛等症状,立即送当地卫生院预补液等治疗,约4小时后患者呕吐次数减少,腹痛减轻,但出现头晕、意识模糊,继而昏迷等,故立即转我院。查体:呈浅昏迷状态,压眶反射存在,双侧瞳孔对光反射迟钝,口腔粘膜充血,心肺(-),肝脾未触及。化验:血、尿及大便常规正常。据病史诊为:“急性硫化汞中毒,用2％碳酸氢钠洗胃、输液、利尿,
Patient, female, 44 years old, farmer. Due to anger after serving self-serving cinnabar 25 grams (mercuric sulfide), one hour after serving nausea, vomiting, abdominal pain and other symptoms, immediately sent to local hospitals for pre-infusion therapy, about 4 hours after the patient vomiting decreased, abdominal pain, but there Dizziness, confusion, and then coma, so immediately transferred to our hospital. Physical examination: was shallow coma, pressure orbital reflex exists, bilateral pupil light reflex, oral mucosal hyperemia, cardiopulmonary (-), liver and spleen not touched. Laboratory tests: blood, urine and stool routine normal. According to the history of diagnosis: "Acute mercuric sulfide poisoning, gastric lavage with 2% sodium bicarbonate, infusion, diuretic,