1　病例介绍例 1:女 ,2 6岁。吞服阿米替林 2 5ｇ ,4ｈ后送入院 ,入院时中度昏迷。例 2 :男 ,2 9岁。吞服阿米替林 1 2 5ｇ,6ｈ后送入院 ,入院时深度昏迷。两患者入院后均立即洗胃、输林格氏液、吸氧 ,并给予中枢兴奋剂美解眠 ,2例患者入院时均有瞳孔散大、心动过速 ,呼吸短促 A case introduction Example 1: Female, 26 years old. Swallow amitriptyline 25g, 4h after admission to hospital, admitted to a moderate coma. Example 2: Male, 29 years old. Amitriptyline swallowed 1 2 5g, 6h after admission to hospital, admission, deep coma. Both patients were immediately gastric lavage after admission, infusion of Ringer’s solution, oxygen, and to the central stimulant US Jie Mian, 2 patients admitted to the hospital were mydriasis, tachycardia, shortness of breath