论文部分内容阅读
患者,女,28岁。因家事纠纷于1991年3月14日服氯氮平2500mg,卡马西平10000mg。5h后被发现意识不清送来急诊。该患者于1989年已被确诊为精神分裂症按医嘱坚持服氯氮平及卡马西平治疗。查体:T36.6℃,R36次,P134次,BP16/8kPa。浅昏迷,口腔鼻孔充满泡沫样分泌物,口唇紫绀,双肺布满水泡音,心音被遮盖,肝脾(—),四肢反射消失,病理神经反射(—)。血常规:RBC3.86×10~(12)/L,WBC11.7×10~9/L,N0.9.L0.1,BPC40×10~9/L。BUN3.93mmol/L.
Patient, female, 28 years old. Due to family disputes on March 14, 1991 clozapine 2500mg, carbamazepine 10000mg. 5h was found unconscious sent emergency. The patient was diagnosed with schizophrenia in 1989 as directed by clozapine and carbamazepine. Physical examination: T36.6 ℃, R36 times, P134 times, BP16 / 8kPa. Light coma, mouth and nose filled with foam-like secretions, lips cyanosis, lungs covered with blisters sound, heart sound is covered, liver and spleen (-), limb reflex disappeared, pathological reflexes (-). Blood: RBC3.86 × 10 ~ (12) / L, WBC11.7 × 10 ~ 9 / L, N0.9.L0.1, BPC40 × 10 ~ 9 / L. BUN3.93mmol / L.