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莨菪硷类药物在抢救中毒性菌痢和流脑方面已取得显著的成效,近年来,该类药物的临床使用范围正逐渐地扩大。我们应用大剂量东莨菪硷抢救严重急性细菌性心内膜炎1例,兹报道如下。患者男性,16岁,农民。住院号10663。因畏冷发热一周,心悸、呼吸困难一天,神志不清2小时,于1982年1月15日入院。患者自幼以来,每于体力活动即出现心悸及唇、指发绀。体检:血压70/60mmHg.人事不省,面色灰暗,四肢厥冷,口唇、肢端发绀。
Poisonous alkaloids have achieved remarkable results in the rescue of toxic bacillary dysentery and meningitis. In recent years, the clinical use of these drugs has been gradually expanding. We apply large doses of scopolamine rescue of acute severe bacterial endocarditis in 1 case, it is reported as follows. Male patient, 16 years old, farmer. Hospital number 10663. Fever for one week due to cold, heart palpitations, dyspnea one day, confusion 2 hours, January 15, 1982 admission. Patients since childhood, every physical activity that palpitations and lip, refers to cyanosis. Physical examination: blood pressure 70 / 60mmHg. Personnel incontinent, looking pale, extremities Jueleng, lips, acromegaly.