论文部分内容阅读
病例:陈××,另,24岁。1977年10月13日下午2时误服农药杀虫脒2两,3时许被送来抢救。体检:体温38℃,呼吸28次/分,脉搏84次/分,血压140/100毫米汞柱,神志不清,口唇青紫,周身尤以四肢末端紫绀明显,全身发凉,呼吸浅速,瞳孔等大(2毫米)、等圆,对光反射迟钝,口腔有分泌物,喉有痰鸣音,心率84次/分,心律齐,心音钝,两肺呼吸音粗糙,两肺底可闻少许湿性罗音,腹平软,肝右肋下2厘米,肠鸣音不亢进,神经系统未引出病理性反射。血液化验:白细胞11,000/立方毫米,嗜中性86％,嗜酸性2％,淋巴12％,血红蛋白12克/100毫升。处理经过:根据护送者所说,患者误服“马拉松”农药,故插胃管用1∶5,000高锰酸钾溶液反复洗胃,按
Case: Chen × ×, another, 24 years old. October 13, 1977 2 o’clock in the afternoon when pesticide insecticide amidine 2 two or three o’clock was sent to rescue. Physical examination: body temperature 38 ℃, breathing 28 beats / min, pulse 84 beats / min, blood pressure 140/100 mm Hg, unconsciousness, lips bruising, especially the whole body cyanosis at the end of the extremities, cold, breathing shallow speed, pupil Such as large (2 mm), so round, slow light reflex, oral secretions, throat phlegm, heart rate 84 beats / min, heart rate Qi, heart sound blunt, Wet rales, abdominal soft, right ribs 2 cm, bowel sounds not hyperthyroidism, the nervous system does not elicit pathological reflex. Blood tests: WBC 11,000 / mm3, neutrophic 86%, acidophilic 2%, lymph 12%, hemoglobin 12 g / 100 ml. After treatment: According to the escort said, the patient mistakenly suffers from “marathon” pesticides, so the stomach with 1: 5,000 potassium permanganate solution repeatedly gastric lavage, press