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患者男性,38岁,农民,于1987年3月5日7时半急诊入院。患者于1小时前吞服甲胺磷约150ml,当时家人从口中灌入肥皂水约600ml,服后能全部吐出。此外未作其它处理而送我院。体检:体温36.9℃,脉搏120次,呼吸24次,血压142/80,意识中度昏迷,口腔大量泡沫,蒜臭味很浓,颈软,呼吸较急促,两肺布满湿罗音,心律120次,律齐,膀胱不充盈,肠鸣音正常。瞳孔等圆缩小约2mm,视乳头边清,颅神经未见异常,四肢腱反射及肌张力减低,Babinski 征阴性。
Male patient, 38 years old, farmer, was hospitalized at half past seven on March 5, 1987. Patients swallowing methamidophos about 150ml 1 hour ago, when the family poured about 600ml of soapy water from the mouth, after serving can all spit out. In addition, no other treatment sent to our hospital. Physical examination: body temperature 36.9 ℃, pulse 120 times, breathing 24 times, blood pressure 142/80, moderate consciousness coma, a lot of foam in the mouth, garlic smell is very strong, soft neck, shortness of breath, lungs covered with wet rales, rhythm 120 times, law Qi, the bladder is not full, normal bowel sounds. Pupil and other round reduction of about 2mm, depending on the clear side of the optic nerve, cranial nerves were not abnormal, limb tendon reflexes and muscle tension decreased, Babinski sign negative.