论文部分内容阅读
患者女性,24岁.1982年7月24日9时40分口服80%敌敌畏300ml,20分钟后急诊入院.病人大汗淋漓,口吐白沫,全身发绀,四肢冰凉,呼吸急促,双侧瞳孔如针尖样大小,可闻及大蒜样臭味,血压测不到.立即吸氧,使用洗胃器以肥皂水30000ml 反复洗胃.同时给以阿托品10mg 静注,解磷定1.2g 缓慢静注.继之以阿托品5mg/小时静滴维持;解磷定0.4g/小时静注;氢化可的松300mg 静滴,11时30分洗胃液已无味,停止洗胃,从胃管注入硫酸镁30g 导泻.以后根据病人瞳孔,皮肤色泽及温度,心、肺功能,随时调整补液速度和阿托品用量,维持酸硷平衡,纠正水电解质紊乱.16时20分测血压40/0mmHg,病人仍处于昏
Patients female, 24 years old. At 24:45 on July 24, 1982 orally 80% dichlorvos 300ml, 20 minutes after emergency admission. Patients sweating, foaming at the mouth, body cyanosis, extremities cold, shortness of breath, bilateral pupils Such as the tip size, can smell garlic odor, blood pressure can not be measured immediately oxygen, the use of gastric lavage to gastric lavage 30000ml repeated gastric lavage.At the same time to atropine 10mg intravenous injection, phosphate solution 1.2g slow intravenous injection Followed by atropine 5mg / hour intravenous maintenance; Phosphorus determination of 0.4g / hour intravenous; hydrocortisone 300mg intravenously, 11:30 gastric lavage has been tasteless, stop gastric lavage, from the stomach tube into the magnesium sulfate 30g Catharsis.After the patient pupil, skin color and temperature, heart, lung function, adjust the infusion rate and the amount of atropine at any time to maintain acid-base balance, correct water and electrolyte disorders .16 时 20 points blood pressure 40 / 0mmHg, the patient is still in the faint