论文部分内容阅读
患者,女,50岁.因“右腰痛伴下腹部疼痛,恶心,呕吐2天”在本院就诊.B超示“右肾积水,输尿管中下段结石”在本院输液治疗,病人下腹部疼痛难忍,遂肌注强痛定0.1g,肌注完约2分,患者突然呼吸暂停,家人急呼医护人员.查患者面色苍白,两眼球固定,双瞳孔等大等圆,对光反射存在.口唇不绀.听诊双肺呼吸音减弱,无干、湿性罗音.HR90次/分,律整,心音有力.BP17.3/12.0kPa.结合症状,体征,患者平素身体健康,无其他病史可寻.考虑系肌注强痛定引起短暂呼吸抑制.遂以右手掌按压腹部并由下向上挤压隔肌辅助呼吸,约30秒钟患者即恢复自主呼吸.自诉头痛、头晕,余无不适,输液完毕自行回家.
Patients, female, 50 years old due to “right lower back pain with abdominal pain, nausea and vomiting for 2 days.” B ultrasound showed “right kidney hydronephrosis, ureteral stones in the lower” in our hospital infusion therapy, the patient’s lower abdomen Pain unbearable, then intramuscular injection of strong pain given 0.1g, intramuscular injection of about 2 points, the patient suddenly apnea, the family anxiously medical staff.Check patients pale, the two eyes fixed, double pupil and other round circle, the light reflection There is no lips cyanosis auscultation lung breath sounds weakened, dry and wet rales. HR 90 beats / min, the whole law, the heart sounds powerful BP17.3 / 12.0kPa combined with symptoms, signs, patients usually healthy, no other medical history Can be found to consider the Department of intramuscular injection of strong pain caused by temporary respiratory depression.Subsequently pressing the abdomen with the right palm and squeeze the diaphragm from the bottom up to help breathing, about 30 seconds the patient is to resume spontaneous breathing .Personal vial headache, dizziness, I have no discomfort , The infusion is completed on their own home.