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患者,女,55岁。因自服二氢埃托菲50片1小时后来院。查体:T36.3℃,P120次/min,R12次/min,BP18/0kPa。昏迷状态,面色紫绀。双瞳约0.15cm 大小,对光反射及压眶反射均消失。呼吸不规则,叹气样呼吸,每分钟10次/min 左右,双肺闻及痰鸣。心率120次/min,律齐,腹部饱满。血常规:Hb88g/L,RBC2.7×10~(12)/L,WBC15.7×10~9/L,No.56,L0.44。生化:CO_2—CPllmmol/L,K~+4.5mmol/L,Na~+139mmol/L,Cl104mmol/L。诊断:急性二氢埃托菲中毒。立即进行抢救,吸氧,洗胃,给予呼吸兴奋剂
Patient, female, 55 years old. Due to self-service dihydrotetofen 50 tablets 1 hour later to hospital. Physical examination: T36.3 ℃, P120 times / min, R12 times / min, BP18 / 0kPa. Coma, looking cyanotic. Double pupil about 0.15cm size, light reflex and pressure orbital reflex disappeared. Irregular breathing, sighing breath, 10 beats / min or so, the lungs and phlegm. Heart rate 120 beats / min, law Qi, full belly. Blood: Hb88g / L, RBC2.7 × 10 ~ (12) / L, WBC15.7 × 10 ~ 9 / L, No.56, L0.44. Biochemistry: CO_2-CP11mmol / L, K ~ +4.5mmol / L, Na ~ +139mmol / L, Cl104mmol / L. Diagnosis: Acute dihydrotetofen poisoning. Immediate rescue, oxygen, gastric lavage, give respiratory stimulants