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男患,48岁,住院号6983。喷洒混灭威药粉后4小时,心悸、胸闷、多汗2小时于1986年9月15日入院。既往无阵发性心悸史。检查:血压120/70mmHg,神清,皮肤温暖,有汗。两侧瞳孔0.2cm,等大。心率140次/分,律不齐,心音强弱不等,未闻及杂音。肝脾肋下未触及。心电图示快速性房颤合并室内差异性传导。胸片、超声心动图、血脂均正常。入院后,给予小剂量阿托品等处理,次日,心悸缓解。心电图窦性心律,大致正常心电图。混灭威由两种同分异构体即灭除威和灭杀威混合而成。能使胆碱酯酶氨基甲酰化,抑制胆碱酯酶活性,故产生与有机磷相似的中毒症状。本例突出表现
Male suffering, 48 years old, hospital number 6983. 4 hours after spraying powdered powdered Granville, palpitations, chest tightness, sweating 2 hours in September 15, 1986 admission. No past history of paroxysmal heart palpitations. Check: blood pressure 120 / 70mmHg, God clear, warm skin, sweating. Pupils on both sides of 0.2cm, such as large. Heart rate 140 beats / min, irregular law, heart sound intensity range, no smell and noise. Liver and spleen ribs untouched. Atrial fibrillation with ECG-induced rapid atrial fibrillation with differential conduction. Chest radiograph, echocardiography, blood lipids were normal. After admission, given a small dose of atropine treatment, the next day, heart palpitations ease. Electrocardiogram sinus rhythm, roughly normal ECG. Mixture of Wei by the two isomers, that is, the elimination of Wei and the combination of killing Wei. Cholinesterase carbamoyl can inhibit the activity of cholinesterase, it produces similar symptoms of organophosphate poisoning. In this case outstanding performance