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患儿,女,2岁半.38小时前因误食鼠药(成分不详,后经化验证实为氟乙酰胺)后1小时静脉滴流葡萄糖及维生素C,5小时曾恶心,呕吐一次胃内容物,11小时后清水洗胃一次,12小时后逐渐精神不振、嗜睡、上肢内旋屈曲发紧,右下肢抖动,相继意识不清,全身抽搐,反复5次.来院前7小时呼吸停止约2分钟,复苏后频抽不止.体检:体温37.3℃,脉搏158次/分,呼吸40次/分,血压15/(?)Pa。重危病容,昏迷、流口水,球结膜充血,瞳孔等大正圆,光反应迟钝。肺无罗音,
Child, female, 2 and a half years old .38 hours ago due to eating rat poison (unknown composition, confirmed by laboratory tests as fluoroacetamide) 1 hour after intravenous infusion of glucose and vitamin C, 5 hours had nausea, vomiting, a stomach content Things, 11 hours after the water gastric lavage, 12 hours after the gradual mental retardation, lethargy, upper extremity flexor hair tightness, the right lower limb jitter, one after another unconscious, convulsions, repeated 5. 7 hours before hospital to stop breathing about 2 Minutes, recovery after more than frequency.Physiological examination: body temperature 37.3 ℃, pulse 158 beats / min, breathing 40 beats / min, blood pressure 15 / (?) Pa. Critically ill, coma, drooling, bulbar conjunctival hyperemia, pupils and other large round, light reaction slow. Lung non-rales,