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女性,43岁,于1997年4月9日入院。入院前1小时因生气口服灭鼠剂氟乙酰胺约40g,入院后立即给予高锰酸钾液洗胃、静脉输液、利尿处理。10小时后病人出现神志恍惚,躁动不安,言语障碍,小便失禁。查体:体温37.2℃,脉搏108次/分,血压17/10kPa。神志模糊,躁动。右侧中枢性面瘫,右侧上下肢肌张力减弱,肌力弱于左侧,双侧Babinski征阳性。心肺听诊(-)。未扪及肝脾。血WBC 8.4×10~9/L,中性0.905,淋巴0.095。尿常规:PRO(卅),BLD(卅)。心电图示:窦性心动过速,QRS低电压,S—T段水平下移。颅脑CT示:双侧脑髓质密度减低,以左侧较明显(CT值左侧26Hu,右侧30Hu),双侧侧脑室略窄,中线结构居中。诊断急性氟乙酰胺中毒并心、脑、肾损害。应用解氟灵(乙酰胺)5g,每日4次肌
Female, 43 years old, admitted to hospital on April 9, 1997. One hour before admission due to angry oral rodenticide fluoroacetamide about 40g, immediately after admission to potassium permanganate solution gastric lavage, intravenous infusion, diuretic treatment. 10 hours after the patient appeared trance, restlessness, speech disorders, urinary incontinence. Physical examination: body temperature 37.2 ℃, pulse 108 beats / min, blood pressure 17 / 10kPa. Ambiguity, restlessness. The right side of the central paralysis, right lower extremity muscle tone weakened, weaker muscle strength than the left, bilateral Babinski sign positive. Cardiopulmonary Auscultation (-). Not palpable liver and spleen. Blood WBC 8.4 × 10 ~ 9 / L, neutral 0.905, lymph 0.095. Urine routine: PRO (卅), BLD (卅). ECG shows: sinus tachycardia, QRS low voltage, S-T segment level down. Brain CT showed: bilateral brain mass density decreased to the left more obvious (CT value 26Hu left, right 30Hu), bilateral lateral ventricle slightly narrower, the median structure is centered. Diagnosis of acute fluoroacetamide poisoning and heart, brain and kidney damage. Teflon (acetamide) 5g, 4 times a day muscle