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本院于1999年6月收入1例重度乐果中毒患者。采取了换血疗法,效果满意,现报告如下。1 临床资料 患者王××家住桦川县东方红农场。住院后经常规治疗(包括清除毒物、对疗处理)。用足量的胆碱酯酶复活剂和阿托品,症状仍无好转。经常规治疗1日后,出现乐果反跳现象:烦燥、昏迷、血压降低、瞳孔缩小如针尖、双肺满布干湿罗音、呼吸困难、口唇发绀,当即对该患进行了换血疗法,具体步骤如下: 首先建立好两条静脉输入通路,然后床边放血。由于该患者一般状况较差,血压偏低,故首先输入新鲜血800毫升,然后放血800毫升,再输新鲜血800毫升,放血400毫升。换血同时,
The hospital in June 1999 income of 1 patients with severe dimethoate poisoning. Take the exchange of blood therapy, the results are satisfactory, are as follows. 1 clinical data Wang × × patients living in Huachuan County Dongfanghong farms. After hospital treatment by conventional treatment (including the removal of poison, treatment). With sufficient cholinesterase resuscitator and atropine, the symptoms still did not improve. Routine treatment after 1, the phenomenon of dimethoate rebound phenomenon: irritability, coma, blood pressure, miosis, such as the tip of the lungs covered with wet and dry rales, dyspnea, cyanotic lips, immediately affected the patient for blood transfusion therapy, Specific steps are as follows: First of all, to establish a good two intravenous access, and then bleed bedside. As the patient generally poor condition, low blood pressure, so first enter the new blood 800 ml, then 800 ml of blood, and then lose 800 ml of fresh blood, bleeding 400 ml. Exchange blood at the same time,