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患者女,17岁。自服氨苯砜40余片(每片0.1克),服后3小时出现恶心、呕吐、头痛、胸闷并口唇、面颊、四肢末稍青紫。入院后给予温水10000ml洗胃,症状未缓解而转我院。初诊为“急性氨苯砜中毒”、“高铁血红蛋白血症”,再次给予温水洗胃,又洗出5片药片及混浊液体,至清水为止。即刻给予1%美蓝4ml加50%葡萄糖20ml静脉注入,同时给予5%葡萄糖氯化钠溶液1000ml加入维生素C、辅酶A、维生素B_(12)
Female patient, 17 years old. Since taking dapsone more than 40 pieces (each piece of 0.1 grams), 3 hours after serving nausea, vomiting, headache, chest tightness and lip, cheek, extremity end bruising. After admission to give warm water 10000ml gastric lavage, the symptoms did not ease and transferred to our hospital. Newly diagnosed as “acute dapsone poisoning”, “methemoglobinemia”, again given warm water gastric lavage, but also washed out five tablets and turbid liquid until water. Immediately give 1% methylene blue 4ml plus 50% glucose 20ml intravenous infusion, while giving 5% glucose solution of sodium chloride 1000ml added vitamin C, coenzyme A, vitamin B_ (12)