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患者女,30岁。因与其夫生气后自服异搏定100片(4000mg),心得安100片(1000mg)于上午11时急诊入院。查体:R18次/min,P50次/min,BP11/8kPa。意识朦胧,呼吸微弱、浅表,面色苍白,四肢冰冷,双瞳等大等圆,光反射存在,口唇及口周无发绀。双肺(-),心率50次/min,律不齐,心音低钝,无杂音。腹(-),NS(-)。诊断:异搏定、心得安中毒(重症)并心衰Ⅲ°。治疗经过:温清水洗胃,心电监护,并给升压及异丙肾上腺素及肾上腺素对抗。心电图示:加速性交界性逸搏伴房室脱节,12时40分心电监护示为室颤,同时自主呼
Female patient, 30 years old. Because of their husband after being angry with self-service verapamil 100 (4000mg), the experience of safety 100 (1000mg) at 11 am emergency admission. Physical examination: R18 times / min, P50 times / min, BP11 / 8kPa. Consciousness dim, breathing weak, superficial, pale, cold limbs, double pupil and other large round, light reflection exists, lips and mouth without cyanosis. Double lung (-), heart rate 50 beats / min, irregular, heart sound low blunt, no noise. Abdominal (-), NS (-). Diagnosis: verapamil, experience An poisoning (severe) and heart failure Ⅲ °. After treatment: warm water wash the stomach, ECG monitoring, and to boost and isoproterenol and adrenaline confrontation. ECG shows: Acceleration of junctional escape with atrioventricular disconnection, 12:40 ECG showed ventricular fibrillation, spontaneous call