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患者女性;29岁,自服兽用驱虫药25mg左旋咪唑190片(江苏省金坛县兽药厂生产),3小时后出现神志不清,呼吸急促,口唇发绀,口吐泡沫,于1991年12月5日11时30分送来本院.既往体健,无急慢性心肺疾病史.体检:T36℃,P170次/分,R40次/分,BP11.5/8kPa,神志不清,呼吸急促,口唇面色严重发绀,口吐粉红色泡沫,压眶反射消失,两侧瞳孔等大、圆,直径0.5cm,光反应迟钝.颈软,颈静脉无怒张.两肺呼吸音低,可闻及广泛水泡音;心界无扩大,心率170次/分,律齐,未闻及杂音.腹平软,肝肋下1.5cm,质中,脾未及.病理反射未引出.心电图示室上性心动过速.立即吸氧,静注速尿100mg、地塞 米松10mg、西地兰0.4mg,快速静滴20%甘露醇250ml,并用可拉明3.75g,洛贝
Female, 29 years old, self-serving veterinary de-worming drug levamisole 25mg (Jintan County, Jiangsu Province, veterinary drug factory production), 3 hours after the unconscious, shortness of breath, cyanotic lips, vomiting bubble, in 1991 December 5 at 11:30 sent to our hospital. Previous physical health, no history of acute and chronic cardiopulmonary disease. Physical examination: T36 ℃, P170 beats / min, R40 beats / min, BP11.5 / 8kPa, unconsciousness, breathing Shortness of breath, shortness of breath, both lungs can be cyanosis, mouth, pink foam mouth, orbital reflex disappears, both sides of the pupil and other large, round, diameter 0.5cm, Smell and widespread blisters sound; no expansion of the heart, the heart rate of 170 beats / min, law Qi, no smell and noise. Abdomen soft, liver ribs 1.5cm, quality, spleen and pathological reflex did not lead to. Tachycardia immediately oxygen, intravenous furosemide 100mg, dexamethasone 10mg, cedilanzyl 0.4mg, rapid intravenous infusion of 20% mannitol 250ml, and with 3.75g of cortinol, lobe