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川乌、草乌是北方民间常用的治疗各种痹症的中草药。1990年至1993年我院急诊科抢救了5例乌头中毒,死亡2例,成功3例,报告如下。例1 患者,女,48岁。因偏头痛自服浸泡生川乌15g,生草乌15g,甘草、白芷的白酒30ml。30min后头痛、头昏、恶心、呕吐、四肢麻木伴呼吸困难。在当地医院抢救无效,2h后来我院。体格检查:体温36.0℃,脉搏不清,测不出血压,神志尚清,烦燥不安,呼吸急促,口唇发绀,牙关紧闭,皮肤花斑状,四肢厥冷。心界不大,心音弱,心律不齐,心率180,呼吸音粗糙,肝脾未触及,心电示室上性心动过速。经加压吸氧,洗胃,静滴葡萄糖、维生素C、阿托品、低分子右旋糖酐、西地兰、利多卡因、多巴胺、阿
Chuanwu, Kusnezoffs is a common folk medicine in the North to treat various arthralgia. From 1990 to 1993, our hospital emergency department rescued 5 cases of aconitum poisoning, 2 died, 3 cases were successful, the report is as follows. Example 1 patient, female, 48 years old. Due to migraine headache soaked Chuanwu 15g, raw grass 15g, liquorice, Angelica liquor 30ml. 30min after headache, dizziness, nausea, vomiting, numbness with respiratory difficulties. Rescue in the local hospital is invalid, 2h later my hospital. Physical examination: body temperature 36.0 ℃, pulse is not clear, can not measure blood pressure, consciousness Shangqing, irritability, shortness of breath, cyanosis lips, teeth closed, skin pigmented, extremities Jueleng. Heart, heart sound weak, arrhythmia, heart rate 180, rough breathing sounds, liver and spleen not touched, ECG showed supraventricular tachycardia. After pressurized oxygen, gastric lavage, intravenous glucose, vitamin C, atropine, low molecular weight dextran, cedilanid, lidocaine, dopamine,