口服25%黑杀乳油死亡1例

来源 :临床急诊杂志 | 被引量 : 0次 | 上传用户:lyaa1984
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
患者,女性,26岁,2004年6月28日上午9时许口服25%黑杀乳油约150ml,恶心、呕吐2次胃内容物。10时20分开始神志不清,呼吸浅弱,并伴肌肉颤动,无大小便失禁,当地村卫生室给予阿托品10 mg 肌注,11时送入我院。入院时查体:T 不升,BP 130/70mm Hg,HR 84次/min,R 8次/min,神志不清,深昏迷,双瞳约针尖大小,光反射迟钝,面色苍白,双肺满布湿性罗音,心音低钝,节律不齐,频发早博。诊断:黑杀乳油中毒。处理:立即清水彻底洗胃,20%甘露醇250 ml 导泻,吸氧。急查胆碱脂酶,及时给予尼可刹米2.25+10%葡萄糖500ml 静滴 Patient, female, 26 years old, June 25, 2004 at 9:00 o’clock 25% oral administration of about 150ml black cream, nausea, vomiting, 2 times the contents of the stomach. 10:20 start confusion, weak breathing, accompanied by muscle fibrillation, no incontinence, the local village clinics to give atropine 10 mg intramuscular injection, 11 into our hospital. Admission examination: T does not rise, BP 130 / 70mm Hg, HR 84 beats / min, R 8 times / min, confusion, deep coma, double pupil about the size of the tip, light reflex, pale, lung full Cloth wet rales, heart sounds low blunt, irregular rhythm, frequent premature Bo. Diagnosis: Black kill cream poisoning. Treatment: Immediate gastric lavage thoroughly, 20% mannitol 250 ml catharsis, oxygen. Emergency check cholinesterase, timely delivery of Nicotine 2.25 + 10% glucose 500ml intravenous infusion
其他文献
目的探讨青少年特发性脊柱侧凸的患者在包括手法在内的综合治疗前后的脊柱旁肌电活动特点.方法选择9例确诊的特发性脊柱侧凸的患者,在乳突下、C1、T1、T3、T6、T9、T12、L3、
随着食管支架的材料、构造、形状的不断改进,为许多不能手术切除的晚期食管癌患者、食管支气管瘘以及术后吻合口瘘经保守治疗无效的病例带来福音.本院自1998年3月至2003年12
The general analysis of the forward AC behavior of a semiconductor diode under series mode is pre-sented for the first time.A new method without any particular
Theoretical analyses have been performed to describe the coupling losses for a plane mirror in rectan-gular waveguidc resonator for an arbitrary waveguide mode
According to a mathematical model which describes the curing process of composites constructed from continuous fiber-reinforced, thermosetting resin matrix prep
With the entry to WRO and development of IT, banks in China are adjusting their competitive strategies to meet the competition. Internet banking has become a ki
The stability and robustness of routing protocol implementations (RPI) in a router are becoming more and more important with the growth of Internet scale. A nov
In the context of workflow systems, security-relevant aspect is related to the assignment of activities to (human or automated) agents. This paper intends to ca
MGAC (Motion Geometric Active Contours), a new variational framework of geometric active contours to track multiple nonrigid moving objects in the clutter background in image sequences is presented. T
The optimization approach based on the biological evolution principle is used to construct the heat transport paths for volume-to-point problem. The transport p