论文部分内容阅读
患者 男性,25岁,患抑郁症。1985年9月2日晚8时,自服安坦520mg(260片),安眠酮6.5g(60余片),次日晨被家人发现,早7点送入我院急诊。 体检:R28次,Bp120/80mmHg,深昏迷,鼾声大作,皮肤粘膜干燥,双眼球固定,瞳孔8mm,对光反射消失,口周少许白沫,颈软,双肺呼吸音粗糙,心率120次/分,律齐,腹软,肠鸣音减弱,四肢肌张力减低,双侧Babinski sign(+)。入院诊断:急性重度安坦、安眠酮混合中毒。 当即清水洗胃,洗出部分药片残渣。开放静脉通路。大约洗到2000ml清水时,病人出现呼吸急促,口唇紫绀,随之呼吸、心跳停止。立即拔除胃管,静推呼吸兴奋剂等,4分钟后,呼吸心跳恢复,但仍深度昏迷,呼吸不规整,Bp波动在80/50mmHg,静滴
Male patient, 25 years old, suffering from depression. On the night of September 2, 1985, at 8 o’clock in the morning, Antatin 520mg (260 tablets) and Acetonide 6.5g (60 tablets) were found by his family the next morning and sent to our hospital as early as 7:00. Physical examination: R28 times, Bp120 / 80mmHg, deep coma, snoring masterpiece, dry skin and mucous membranes, fixed both eyes, pupil 8mm, the light reflection disappeared, a little foam around the mouth, neck soft, Points, regular Qi, abdominal soft, weeping bowel sounds, limb muscle tension decreased, bilateral Babinski sign (+). Admission diagnosis: Acute severe Antanan, methamphetamine mixed poisoning. Immediately gastric lavage, wash out part of the tablet residue. Open venous access. About wash to 2000ml water, the patient appears shortness of breath, cyanotic lips, then breathing, heartbeat stopped. Immediate withdrawal of the gastric tube, static push breath stimulant, etc., 4 minutes later, respiration and heartbeat recovery, but still deep coma, irregular breathing, Bp fluctuations in 80 / 50mmHg, intravenous infusion