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1病例介绍患者男,68岁,农民。因琐事与家人争吵后自服敌敌畏15 min于2005年12月17日下午3点急诊入院,途中呕吐3次。检体:昏迷,口吐白沫,大蒜样气味浓。脉搏:58次/分,呼吸24次/分,血压140/80 mm Hg。皮肤湿冷,双瞳孔针尖样大小,心率58次/分,律齐,两肺可闻及较多湿性音,腹平软无殊,四肢可见肌肉震颤。患者既往体健,无“高血压、糖尿病”史。入院后立即脱去污染的衣服,用1:5000的高锰酸钾溶液反复洗胃至洗出液澄清为止,继用硫酸钠20 g溶于50 ml水中注入胃管。
1 case description Male patient, 68 years old, farmer. Due to trivial quarrel with his family, taking DDVP 15 min on December 17, 2005 at 3 pm emergency admission, vomiting en route 3 times. Sample: coma, foaming at the mouth, garlic-like odor. Pulse: 58 beats / min, breath 24 beats / min, blood pressure 140/80 mm Hg. Skin wet and cold, double pupil needle tip size, heart rate 58 beats / min, law Qi, both lungs can be heard and more wet sound, abdominal soft and soft, muscle tremors visible limbs. Past patient health, no “high blood pressure, diabetes ” history. Immediately after admission, the contaminated clothes should be taken off, and gastric lavage should be repeated with a 1: 5000 solution of potassium permanganate until the eluate is clarified. Next, 20 g of sodium sulfate is dissolved in 50 ml of water and injected into the stomach tube.