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例1 女,21岁,口服1605农药30克,发觉即送院,途中20分钟,呕吐一次。抵院后神志恍惚,苍白,发绀,皮肤冷湿,大汗、四肢肌肉震颤,瞳孔缩小。即予阿托品首次10毫克,并以每5分钟5毫克维持,静注。洗胃过程中逐渐昏迷,立即一次静脉推注阿托品20毫克。洗胃用水约200斤,其中30斤为2％苏打水,末了注入硫酸镁50克导泻。并用肥皂清洗全身,更衣。并保持轻度“阿托品化”:颜面潮红,心率120次/分左右,血压稳定正常水平,心音节律齐,轻度躁动。每次阿托品减量后即突然发现血压稍升高,继而下降,颜面转黄、出汗,安静不躁动,心率下降,体温亦相应下降些。加大阿托品剂量及缩短用药间隔时间后好转。第3天阿托品剂量加大到每5分钟20毫克静注。患者仍深度昏迷,输血300毫升后,患者很快显出“阿托品化”故减量和停用阿托品,病况好转。第4天,神志逐渐清醒。共计
Example 1 Female, 21 years old, oral 1605 Pesticides 30 grams, found that the hospital, 20 minutes on the way, vomiting once. After the arrival of the trance, trance, pale, cyanosis, cold and wet skin, sweating, muscle tremors and miosis. That is the first 10 mg of atropine, and every 5 minutes to maintain 5 mg, intravenous injection. Gastric lavage gradually unconscious, immediately atropine bolus 20 mg. Gastric lavage about 200 pounds, of which 30 pounds of 2% soda water, the last injection of 50 grams of magnesium sulfate catharsis. And wash body with soap, changing clothes. And to maintain a mild “atropine”: face flushing, heart rate 120 beats / min or so, blood pressure stabilized at normal levels, heart rhythm Qi, mild agitation. After each atropine reduction suddenly found that blood pressure rose slightly, then declining, facial turn yellow, sweating, restless restlessness, heart rate decreased, the body temperature also decreased accordingly. Increase atropine dose and shorten the time interval after medication improved. Day 3 Atropine dose increased to 20 mg intravenously every 5 minutes. Patients are still in deep coma, blood transfusions 300 ml, the patient quickly showed “atropine” Therefore, reduction and withdrawal of atropine, the condition improved. Day 4, consciousness gradually awake. total