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病历摘要:女患,20岁。于1987年8月16日空腹服氟乙酰胺配制的毒饵约20g,10分钟后以清水洗胃,至肉眼未见毒物为止,量约50L。患者渐有烦躁,继之抽搐、昏迷,在服毒后23小时、昏迷16小时转入我院。查体:体温39℃,脉搏102次/分,血压90/60mmHg,呼吸18次/分。深昏迷,项软,心率102次/分,律齐,浅反射消失,巴氏征(+)。血糖5.75mmol/L,血钙2.23mmol/L。诊断:急性氟乙酰胺重度中毒并低钙血症,经扩溶、纠酸、抗炎及持续低流量吸氧等综合治疗14小时,仍无好转,即用5％溴化钙30nl静注,每40分钟1次,2小时后患者始有躁
Medical record summary: female patient, 20 years old. On August 16, 1987 on an empty stomach with fluoride acetamide formulated bait about 20g, 10 minutes after the lavage with water to the naked eye until no toxic substances, the amount of about 50L. Patients gradually irritable, followed by convulsions, coma, 23 hours after taking the coma in 16 hours into our hospital. Physical examination: body temperature 39 ℃, pulse 102 beats / min, blood pressure 90 / 60mmHg, breathing 18 beats / min. Deep coma, soft, heart rate 102 beats / min, Law Qi, disappearance of shallow reflex, Pakistan sign (+). Blood glucose 5.75mmol / L, calcium 2.23mmol / L. Diagnosis: severe acute fluoroacetamide poisoning and hypocalcemia, after the solution, dissolved acid, anti-inflammatory and sustained low flow oxygen and other comprehensive treatment for 14 hours, still no improvement, that is, 5nl calcium bromide 30nl intravenous injection, Once every 40 minutes, 2 hours after the patient had impatience