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病例摘要女患,21岁,1986年4月12日欲自杀口服氯丙嗪5275mg(25mg×211片),2小时后被家人发现神志不清,送医院抢救。查体:体温35.9℃,脉搏100/分,呼吸18次/分,血压70/40mmHg,深昏迷,压眶无反应,睫毛反射消失,两瞳孔缩小,直径1～1.5mm,对光反射消失。心率100次/分,节律规整,两肺少许痰鸣音,四肢肌张力低下,生理性反射消失,病理性反射未引出。立即给予温水反复彻底洗胃、吸氧、保温。两条静脉通路补液:每500ml液体中加可拉明3.75g、
Case Summary Female, 21 years old, April 12, 1986 To commit suicide oral chlorpromazine 5275mg (25mg × 211 tablets), 2 hours later was found confusion in his family, sent to the hospital for treatment. Examination: Body temperature 35.9 ℃, pulse 100 / min, breathing 18 beats / min, blood pressure 70 / 40mmHg, deep coma, pressure orbital reflex, lashes reflex, two pupils narrow, diameter 1 ~ 1.5mm, light reflex disappeared. Heart rate 100 beats / min, regular rhythm, a few lungs phlegm phlegm, limb muscle tension is low, physiological reflex disappeared, pathological reflex did not lead. Immediately give warm water repeated gastric lavage, oxygen, heat. Two venous access rehydration: plus 500ml liquid per liter of Lamin 3.75g,