论文部分内容阅读
急性化脓性胃炎在临床上十分少见,重度有机磷农药中毒并急性化脓性胃炎未见报道,现将本院1例报告如下: 患者,女性,50岁。因空腹自服乐果2两后不省人事6小时于1988年8月21日入院。患者于入院前6小时空腹自服乐果2两,发现时,口吐白沫,在来院途中,出现不省人事,大小便失禁。入院前3小时到本院急诊。检查:血压10.6/7.4kpa,昏迷状态,双瞳孔0.1cm,双肺布满湿啰音。即洗胃及应用654-2和解磷定等处理后,收入本科。患者有10年慢性胃炎病史。入院检查:血压13.3/7.9kpa,昏迷状态,皮肤湿冷,瞳孔0.15cm,呼气可闻及大蒜味,肺底有啰音,有肌震颤。化验血白细胞11.4×10~9/L,中性分叶0.90;血胆碱脂酶活力20单位;心电图:窦性心动过速,心肌劳损。入院诊断为重度乐果中毒。入院后给予吸氧,再洗胃及应用654-2解磷定等综合处理后,神志转清,肺部啰音消失。但入院第
Acute suppurative gastritis is very rare in clinical practice, severe organophosphorus pesticide poisoning and acute suppurative gastritis have not been reported, now one of our hospital reported the following: patients, women, 50 years old. Due to fasting self-service dimethoate 2 two unconscious 6 hours admitted on August 21, 1988. 6 hours before admission, patients with fasting self-service dimethoate 2 two, found at the mouth foaming, in the way to the hospital, there unconscious, incontinence. 3 hours before admission to our hospital emergency room. Check: blood pressure 10.6 / 7.4kpa, coma, double pupil 0.1cm, lungs covered with wet rales. That gastric lavage and application of 654-2 and phosphorus after treatment, income undergraduate. Patients have a history of chronic gastritis for 10 years. Admission examination: blood pressure 13.3 / 7.9kpa, coma, cold and wet skin, pupil 0.15cm, smell breath and garlic, the bottom of the lungs have rales, muscle tremor. Laboratory white blood cells 11.4 × 10 ~ 9 / L, neutral leaf 0.90; 20 units of cholinesterase activity; ECG: sinus tachycardia, myocardial strain. Admission was diagnosed as severe dimethoate poisoning. After admission to give oxygen, then gastric lavage and application of 654-2 phosphoric-acid treatment such as comprehensive determination, consciousness clear, pulmonary rales disappeared. But admitted to the first