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敌敌畏中毒屡有发生。我们对1例敌敌畏中毒危重患者,使用大剂量阿托品冲击治疗,抢救成功。报告如下:于××,女,21岁。吞服敌敌畏250毫升,半小时后口吐白沫,昏迷,经肌注阿托品2毫克后入院。查体:体温不升,血压90/50毫米汞柱,深度昏迷,颜面紫绀,四肢厥冷,皮肤花斑。瞳孔针尖大小,喉有痰鸣,两肺有湿鸣。心率(?)次/分,腹平软肝脾未及。化验:白细胞25700/mm~3,中性85%,淋巴15%。二氧化碳结合力了31.4容积%,非蛋白氮37毫克%。诊断:急性有机磷中毒(重度)。
Dichlorvos poisoning occurs frequently. We have 1 case of critically ill patients with dichlorvos poisoning, the use of high-dose atropine impact treatment, rescue success. The report is as follows: At XX, F, 21 years old. Swallow dichlorvos 250 ml, half an hour after the foaming at the mouth, coma, after atropine 2 mg intramuscularly admitted to hospital. Physical examination: body temperature does not rise, blood pressure 90/50 mm Hg, deep coma, facial cyanosis, extremities Jueleng, skin spots. Pupil needle size, throat phlegm, both lungs wet mute. Heart rate (?) Times / min, abdominal flat soft liver and spleen not yet. Laboratory tests: white blood cells 25700 / mm ~ 3, 85% neutral, lymphatic 15%. Carbon dioxide binding capacity of 31.4% by volume, non-protein nitrogen 37 mg%. Diagnosis: acute organophosphate poisoning (severe).