病历摘要 例1:女性,21岁,因服敌敌畏10ml,苍白、多汗、流涎,不省人事两小时,来我科就诊。来院前已静注阿托品70mg(每毫升含阿托品0.5mg)。入院时T37.4℃,P120次/分,R30次/分,BP120/80mmHg,浅昏迷状,皮肤苍白多汗,有肌束震颤。双瞳孔直径1.5mm,光反应消失。两肺可闻干湿性罗音,心律齐,因罗音及肌颤干扰心音听诊欠满意。肝脾不大。入院后用洗胃机清水洗胃,同时用0.5mg/ml的阿托品连续静脉推注,1小时内注射量达1750mg。此后静 Case History Summary 1: Female, 21 years old, due to serving 10ml of dichlorvos, pale, sweating, drooling, unconsciousness two hours to our department. Atropine has been intravenous injection to the hospital before 70mg (per ml with atropine 0.5mg). Admission T37.4 ℃, P120 beats / min, R30 beats / min, BP120 / 80mmHg, shallow coma, pale sweat, with fasciculation. Double pupil diameter 1.5mm, light reaction disappeared. Two lungs can be heard wet and dry rales, rhythm Qi, due to rales and fibrillation interfere with heart sound less satisfactory. Small spleen and liver. After admission, gastric lavage with water, gastric lavage, while 0.5mg / ml atropine continuous intravenous injection, 1 hour injection volume of 1750mg. After that static