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患者女,64岁,因左腰腹阵痛2天入院,查体:左季肋区明显压痛,无肌紧张及反跳痛,左肾区叩痛,尿常规:RBC~(++),拟诊为左输尿管结石,入院当日子静滴654-2 10mg,左腰腹阵痛稍减;次日14:30′左腰腹阵痛加剧,疼痛难忍,肉眼血尿约200ml,给予5％GS 500ml加阿托品0.5mg,静滴,半小时后患者安静入睡。19:00患者出现口干,吞咽困难(饮水呛咳),焦虑不安,烦躁谵妄,查体:体温38℃,面包潮红,瞳孔0.7cm.对光反射迟钝,呼吸30次/分,心率102次/分,节律整齐,未见尿潴留,诊断:阿托品中毒反
Patient female, 64 years old, admitted to the hospital for 2 days due to left lumbar abdominal pain. Examination: left tenderness tenderness, no muscular tension and rebound tenderness, percussion pain in the left kidney area, urine routine: RBC ~ (++) Diagnosed as left ureteral calculi, 654-2 10mg on the day of admission, left lower abdomen pain slightly reduced; 14:30 the next day increased left abdominal pain, pain unbearable, gross hematuria about 200ml, given 5% GS 500ml plus Atropine 0.5mg, intravenous infusion, half an hour later the patient fell asleep quietly. 19:00 patients with dry mouth, difficulty swallowing (drinking water cough), anxiety, irritability delirium, physical examination: body temperature 38 ℃, bread flushed, pupil 0.7cm. Reflex light, breathing 30 beats / min, heart rate 102 / Min, rhythm, no urine retention, diagnosis: atropine poisoning