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病历摘要例1 女患,30岁。因服来苏儿350ml约1小时左右来院。检查:血压测不到,脉搏触不清,呼吸表浅,深昏迷,面部及口唇发绀。双肺有痰鸣音,心律规整,心率187次/分,无杂音。四肢厥冷,手指发绀,呼吸和循环衰竭。立即双管静脉补液,给中枢兴奋剂、升压药等治疗。同时插管洗胃,由于深昏迷病人不合作,加之毒物作用而引起食管管腔窄等原因;导致多次下胃管而失败。在未用麻药情况下行切开洗胃,病人毫无反应至术毕。术
Case Summary 1 female patient, 30 years old. Because of serving Soviet children 350ml about 1 hour to hospital. Check: blood pressure can not be measured, pulse touch, superficial breathing, deep coma, facial and lips cyanosis. Lung phlegm beating sound, regular heartbeat, heart rate 187 beats / min, no noise. Jueleng limbs, fingers cyanosis, respiratory and circulatory failure. Immediate double intravenous rehydration, to the central stimulants, such as antihypertensive drugs. At the same time intubation gastric lavage, due to deep coma patient cooperation, coupled with the toxic effects caused by esophageal lumen narrow and other reasons; lead to multiple gastric tube failure. Uncut anesthesia in the case of incision open gastric lavage, the patient no response to surgery completed. Surgery