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本文报告了一例因同时食入酒精和松节油而复杂化了的重度有机磷中毒,经用比以往报告所用剂量大得多的阿托品和氯磷定获救。患者52岁,男性。到急诊室时见昏迷和紫绀,呼吸停止,脉搏和血压测不到。入院后患者即苏醒,血压70/40mmHg。据称患者喝了松节油,经洗胃洗出大量有酒精和松节油气味的液体。患者大汗淋漓,大量流泪和流涎,同时有大量气管分泌物;瞳孔直径1mm,对光反应消失;肠鸣音亢进,大量腹泻;全身弛缓性麻痹,伴明显肌纤维挛缩,反射消失;实验室
This article reports a case of severe organophosphorus poisoning complicated by the simultaneous ingestion of alcohol and turpentine, rescued with atropine and chlorophosphate at much higher doses than previously reported. Patient 52 years old, male. To the emergency room to see coma and cyanosis, respiratory arrest, pulse and blood pressure can not be measured. After admission, the patient is awake, blood pressure 70 / 40mmHg. It is reported that patients drank turpentine, washed through the gastric lavage with a large number of alcohol and turpentine smell of liquid. Patients sweating, a large number of tears and salivation, while a large number of tracheal secretions; pupil diameter 1mm, the response to light disappeared; bowel sounds hyperthyroidism, a large number of diarrhea; flaccid paralysis, with significant muscle fiber contracture, reflex disappeared; laboratory