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患者男性,17岁,打工者,于2005年3月16日自服百草枯约10 ml 后,感头晕、上腹部不适、恶心、呕吐,无吐血,无呼吸困难、意识障碍、抽搐等症状,约1 h 后无缓解,遂到当地医院诊治,未洗胃,给予补液、对症治疗2 d,患者症状好转未再治疗。3月19日开始出现呼吸急促、小便量减少、纳差、皮肤黄染,5 d 后即3月21日来我院急诊。体检:T37℃,BP 102/60 mmHg,P 136次/min,R 34次/min,神志清楚,全身巩膜轻度黄染,口唇发绀、肿胀,口腔可见多处溃疡;双膈呼吸音低,可及湿罗音,心率136次/min,律齐,心音低钝;腹部平软,剑突下压痛,肝区轻叩痛,余无异常。心电图:
Male, 17 years old, laborer, suffering from dizziness, abdominal discomfort, nausea, vomiting, no vomiting, no breathing difficulties, unconsciousness, convulsions and other symptoms after taking paraquat about 10 ml on March 16, About 1 h after no relief, then to the local hospital for diagnosis and treatment, did not wash the stomach, given rehydration, symptomatic treatment 2 d, no improvement in symptoms and no treatment. March 19 began to appear shortness of breath, reduce the amount of urine, anorexia, yellow skin, 5 days after March 21 to our hospital emergency room. Physical examination: T37 ℃, BP 102/60 mmHg, P 136 times / min, R 34 times / min, conscious clear scleral mild yellow dye, lips cyanosis, swelling, multiple oral visible ulcers; Available wet rales, heart rate 136 times / min, law Qi, heart sound low blunt; abdominal soft, xiphoid tenderness, liver area tapping pain, I was no exception. ECG: