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病例介绍朱××,男,19岁,1983年5月16日急诊入院.患者于1小时前吞服呋喃丹微粒250克,30分钟后出现肌肉震颤、神志不清、大汗淋漓,来院途中呕吐两次. 体检:昏迷状态,面色苍白,嘴唇发紫,口内流大量泡沫状粘液.皮肤湿冷,肌肉震颤,大汗淋漓,双侧瞳孔极度缩小(如针尖样).心率98次/分,律齐,血压140/88mmHg.两肺布满湿罗音、痰鸣音,呼吸不规则,呈潮式呼吸. 入院后,用1:5000高锰酸钾溶液洗胃,同时静注阿托品,每次4mg,5分钟注射一次,用20mg后.改为阿托品10mg、维生素C3g、氢可琥钠100mg加入5％葡萄糖水500毫升内,作快速
Case description Zhu XX, male, 19 years old, was admitted to the emergency department on May 16, 1983. The patient swallowed carbofuran granules 250 grams 1 hour ago and developed muscle tremor 30 minutes later, unconsciously and sweating, Vomiting twice Physical examination: coma, pale, purple lips, mouth a large number of foamy mucus. Skin wet and cold, muscle tremors, sweating, both sides of the pupil is extremely reduced (such as needle-like.) Heart rate 98 beats / Law Qi, blood pressure 140/88 mmHg. Both lungs covered with wet rales, phlegm, irregular breathing, tidal breathing. After admission, gastric lavage with 1: 5000 potassium permanganate solution, while intravenous atropine, each Times 4mg, 5 minutes injection time, with 20mg later changed to atropine 10mg, vitamin C3g, hydrogen sodium 100mg 5% glucose water 500ml for fast