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患者男性,19岁,农民。自3米高处坠入泥潭中摔伤头部及吸入污水泥沙约半小时,于1998年12月19日10时送我院急诊科。查体:体温 36.8%,心率140～160次/min,血压150/90mmHg,呼吸36次/min。面色紫钳,神志不清,谵妄。右颞部皮肤4cm裂伤。双侧瞳孔直径均为3.5mm,对光反射迟钝。口鼻内大量泥沙。呼吸急促伴明显三凹征,阵发性痉挛性呛咳,呼吸停顿,双肺呼吸音均弱伴哮呜音。立即清除口、鼻、咽内泥沙,紧急气管插管供氧。纤维支气管镜下,气管内吸引出大量污泥及细砂(直径最大达2mm,量约
Male patient, 19 years old, farmer. Since the height of 3 meters plunged into the quagmire and fell into the head of the sewage sludge for about half an hour, at 10 o’clock on the December 19, 1998 sent to our hospital emergency department. Physical examination: body temperature 36.8%, heart rate 140 ~ 160 beats / min, blood pressure 150 / 90mmHg, breathing 36 beats / min. Facial color clamp, unconscious, delirium. Right temporal skin laceration 4cm. Both pupil diameter are 3.5mm, slow reflection of light. Mouth and nose a lot of sediment. Shortness of breath with obvious three concave sign, paroxysmal spasmodic cough, breathing pauses, lung breath sounds weak with asthma. Immediately clear the mouth, nose, pharynx sediment, emergency endotracheal tube oxygen supply. Fiber bronchoscopy, the trachea to attract a large number of sludge and fine sand (diameter up to 2mm, about