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患者,女,20岁,因服亚胺硫磷50ml 5小时急诊入院。体检:T36.9℃,P120次/分,R30次/分,BP110/70mmHg;深度昏迷,点头呼吸,口唇严重发绀;两侧瞳孔散大,对光反射及角膜反射消失;心率速,律齐,两肺满布痰鸣音;腹部隆起,膀胱充盈;各种反射消失。诊断:重度有机磷(亚胺硫磷)农药中毒。患者入院后在大量滴注阿托品的同时,插入洗胃管。水灌入不少,但既使使用电动吸引器亦抽不出胃内容物。为此,我们决定施行开腹洗胃。
Patient, female, 20 years old, due to subtilis 50ml 5 hours emergency admission. Physical examination: T36.9 ℃, P120 beats / min, R30 beats / min, BP110 / 70mmHg; deep coma, nodded breathing, severe cyanotic lips; bilateral mydriasis, light reflex and corneal reflex disappeared; , Lungs covered with phlegm sounds; abdomen bulge, filling the bladder; a variety of reflections disappear. Diagnosis: Severe organic phosphorus (imidacloprid) pesticide poisoning. Patients after admission in a large number of infusion of atropine at the same time, into the gastric tube. Water into a lot, but even if the use of electric suction device also pumping out the stomach contents. To this end, we decided to carry out gastric lavage.