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患者女性,17岁。于1986年11月18日4时自服磷化锌10g。5小时后开始恶心呕吐,吐出黑灰色胃内容物,量较多,即来院抢救。入院体检:T36.5℃,P72次/分,BP110/70;神志清,心肺正常;腹软,剑突下轻度压痛,确诊为磷化锌中毒。入院后大便4次,首次呈黑色,后3次为黄色稀便。次日实验室检查:三大常规正常,血钾4mmol/L,钠128mmol/L,氯99.7mmol/L,BUN4.7mmol/L,CO_2CP25.16mmol/L。入院当天15时心电图(附图)示:各导联均以
Patient female, 17 years old. At 10:00 on November 18, 1986 self-service zinc phosphide 10g. 5 hours after nausea and vomiting, spit dark gray stomach contents, the amount of more, that is to hospital. Admission physical examination: T36.5 ℃, P72 beats / min, BP110 / 70; God clear, normal heart and lung; soft belly, mild xiphoid tenderness, diagnosed with zinc phosphide poisoning. After admission stool 4 times, the first black, 3 times after the yellow loose stools. The next day laboratory tests: the three routine normal, serum potassium 4mmol / L, sodium 128mmol / L, chlorine 99.7mmol / L, BUN4.7mmol / L, CO_2CP25.16mmol / L. 15:00 on the day of admission ECG (with photos) shows: the lead are