论文部分内容阅读
严某,女,45岁,农民.于1987年8月22日与家人争吵后自服以砒霜为拌种的毒鼠药约一汤匙,约二小时后出现轻度恶心、呕吐,四个多小时后感头晕不适、乏力,在当地卫生院行洗胃、导泻后转来我院。于第二天下午起反复出现四肢抽搐、意识丧失,短时间内消失.体检:T37℃,Bp14./10.7kPa(110/80mmHg)神清,颈软,心界叩诊不大,心率94次,四肢肌力,肌张力正常,未引出病理神经反射.血K~+3.5mmol/L,Na~+137mmol/L,Ca~(++)2.3mmol/L.按低血钙抽搐治疗,仍反复发作上症.翌日查房闻及早搏而作床边心电图检在,Ⅰ导联为频发室性早搏,描记Ⅱ导联时突呈扭转型室性心动过速图形,同时再发肢体抽搐,意识丧失,约
Yan Mou, female, 45 years old, farmer.After a quarrel with his family on August 22, 1987, he took about one tablespoon of poisonous rat poison for dressing with arsenic cream. About two hours later he developed mild nausea and vomiting. Dizziness and discomfort after hours, fatigue, gastric lavage at the local hospital, after catharsis transferred to our hospital. Physical examination: T37 ℃, Bp14. / 10.7kPa (110 / 80mmHg) God clear, soft neck, heart percussion is not large, the heart rate 94 times, Limb muscle strength, normal muscle tone, did not lead to pathological nerve reflex blood K ~ +3.5 mmol / L, Na ~ +137 mmol / L, Ca ~ (++) 2.3mmol / L. According to hypocalcemia convulsive therapy is still repeated Attack the next day check-room smell and premature beat for bedside ECG examination, lead Ⅰ for frequent ventricular premature beats, the description of Ⅱ leads suddenly torsion-type ventricular tachycardia, while the recurrence of limb twitching, Loss of consciousness, approx