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男患,15岁。为治疗关节炎而手术切除反复发炎的扁桃体。术时误将1%地卡因25ml加1‰的肾上腺素0.2ml混合注入扁桃体局部,手术15分钟顺利结束。术后病人面色苍白、嗜睡,双瞳孔中度散大。Bp 10/5kPa,心率136次/分,呼吸弱。查其原因始发现错用药致中毒,立即抢救。吸氧,快速输入液体2200ml,内加ATP、辅酶A、细胞色素C_a术后2小时排尿1100ml。但病人烦躁、恶心,心率130次/分,Bp 11/7 kPa。又输液1000ml并加氟美松、碳酸氢钠等药。术后6小时
Male suffering, 15 years old. Surgery for the treatment of arthritis repeated resection of the tonsil. Surgery mistakenly 1% tetracaine 25ml plus 1 ‰ 0.2ml of epinephrine mixed injection of tonsil local surgery 15 minutes successfully concluded. After the patient pale, drowsiness, double pupil moderate dispersion. Bp 10 / 5kPa, heart rate 136 beats / min, weak breathing. Check the reason found the wrong drug was poisoned, immediately rescued. Oxygen, quickly enter the liquid 2200ml, plus ATP, coenzyme A, cytochrome C_a 2 hours after urination 1100ml. However, the patient irritability, nausea, heart rate 130 beats / min, Bp 11/7 kPa. Also infusion of 1000ml and add flumethasone, sodium bicarbonate and other drugs. 6 hours after surgery