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病历摘要:吴某,男,44岁,于1986年2月24日晚饮酒7～8两,饱食后口服敌敌畏250ml,随即昏睡人事不知,1小时后被送至我院。体检;体温36℃,血压未测,神志不清,呼吸急促,有浓厚的敌敌畏气味。双瞳孔针尖大,对光反应消失,颈软,两肺满布痰鸣音,心率94次,心音弱,律整,肝脾(-),上腹部膨隆,肠鸣音存在。当即给予插管洗胃及大量阿托品、解磷定等对症处理。胃管插入后被内容物堵塞再次插管时因咽喉部充血水肿而失败,无法再行插管洗胃。后经家属同意于中毒后2小时在局麻下行开腹洗胃术。术中发现胃高度膨胀,进胃后其内容物大量急速涌出,具有浓厚的敌敌畏气味,吸引器多次被堵塞,辅以徒手及卵圆钳取出胃内容物,洗出约3000ml乳糜状胃内容物。其
Medical history Abstract: Wu, male, 44 years old, drinking on the evening of February 24, 1986, 7 to 8 two, after oral administration of dichlorvos 250ml, then sleep I do not know personnel, one hour later was sent to our hospital. Physical examination; body temperature 36 ℃, blood pressure was not measured, unconsciousness, shortness of breath, a strong smell of dichlorvos. Double pupil needle tip, the light reaction disappeared, neck soft, lungs covered with phlegm, heart rate 94 times, weak heart, law, liver and spleen (-), upper abdominal bulging, bowel sounds exist. Immediately given intubation gastric lavage and a large number of atropine, phosphorus and other symptomatic treatment. Stomach tube inserted after the content was plugged again due to throat congestion and edema failure failed to intubation gastric lavage. After the consent of their families 2 hours after poisoning in local anesthesia downstream laparotomy. Surgery was found in the highly swollen stomach, the contents of the stomach after a large number of rapid gush, with a strong smell of dichlorvos, suction device was blocked many times, supplemented by bare hands and oval pliers remove the contents of the stomach, washing out about 3000ml chyme-shaped stomach Contents. its