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作者报告一例水杨酸盐中毒患者,在用利尿剂、血液透析治疗过程中发生了严重的急性呼吸衰竭。患者系一43岁女性。主诉头痛、腹痛入院。入院前曾服用阿司匹林等药物。查体:意识模糊,血压114/68mmHg,呼吸24次/分,两肺底可闻及吸气末捻发音。X线示心影大小正常,两肺底呈间质性浸润。实验室检查:PaO_268mmHg,PaCO_214.6mmHg,P~H7.36,BE-16.6mEq/L,P_((A-a))O_240mmHg,血清水杨酸盐达97mg/dI。遂诊断为水杨酸盐中毒。立即给予了透析、输血和利尿治疗。3小时内共输入5%葡萄糖3000ml(其中加有碳酸氢钠150mEq和呋
The authors report a case of salicylate poisoning in patients with diuretics, hemodialysis during the treatment of severe acute respiratory failure. The patient is a 43-year-old female. Chief complaint headache, abdominal pain admitted. Had taken aspirin and other drugs before admission. Physical examination: confusion, blood pressure 114 / 68mmHg, breathing 24 beats / min, the end of the lungs can be heard and inspiratory end of the twist pronunciation. X-ray showed normal heart shadow size, two lung showed interstitial infiltration. Laboratory tests: PaO_268mmHg, PaCO_214.6mmHg, P ~ H7.36, BE-16.6mEq / L, P _ ((A-a)) O_240mmHg, serum salicylate up to 97mg / dI. Then diagnosed as salicylate poisoning. Dialysis, blood transfusion and diuretic treatment were given immediately. Within 3 hours were fed 5% glucose 3000ml (which was added sodium bicarbonate 150mEq and furosemide