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患者女,22岁.与他人生气后购买地高辛100片,总剂量25mg,于午餐后20分钟全部口服.服药2小时30分钟出现恶心、呕吐,并逐渐加重.开始吐物为乳白色液体,以后为淡咖啡色液体.服药8小时到门诊常规洗胃、利尿处置后返回家中.服药第3天因头晕、频繁恶心、呕吐、上腹剧痛而住院.入院查体:体温36.5℃、脉搏120次/分、呼吸19次/分、血压9.3/6.7kPa.精神萎摩、抬入病房.双肺呼吸音清,心率120次/分,心音纯律整.腹平软、肝脾未触及,上腹部压痛无反跳痛.入院诊断:急性药物中毒合并低血容
Patient female, 22 years old .And angry with others to buy digoxin 100 tablets, the total dose of 25mg, 20 minutes after lunch, all oral medication 2 hours and 30 minutes nausea, vomiting, and gradually increased .Because the spit is milky white liquid, after For the light brown liquid .8 hours to the clinic routine gastric lavage, diuretic returned home after treatment .Dose medication for the first 3 days due to dizziness, frequent nausea, vomiting, abdominal pain and hospitalization .Physiological examination: body temperature 36.5 ℃, pulse 120 / Min, breathing 19 times / min, blood pressure 9.3 / 6.7kPa. Spirit wilting, into the ward. Respiratory sound clear lungs, heart rate 120 beats / min, pure heart sound law. Abdominal tenderness without rebound pain. Admission diagnosis: acute drug poisoning with hypovolemia