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患儿男性第一胎,第一产,足月顺产,体重3050g,1min阿氏评分10分。产后6h左右误将度冷丁1OOmg注射于右三角肌,患儿注后立即出现面色青紫、反应低下、神志不清,1min左右出现呼吸停止,心率减慢至100次/min,立即给予气管插管皮囊加压通气,建立静脉通路。予洛贝林3mg肌注;纳洛酮0.06mg加入5％葡萄糖5ml静推,15min及1h后各重复1次,同时予脑活素5ml加5％葡萄糖20ml静滴及抗休克纠正酸中毒。半h左右患儿自主呼吸建立,但有呼吸暂停现象,加用东莨菪碱0.1mg加5％葡萄糖10ml静滴;lh左右患儿呼吸规则,面色红润,拨管后会哭。继续予脑活素、东茛菪碱等治疗3天痊愈。
The first child with male fetus, first birth, term full-term, weight 3050g, 1min Ah’s score of 10 points. Postpartum 6h or so mistakenly chilly benedict 1OOmg injection in the right deltoid muscle, children immediately after the injection appears complexion bruising, low response, confusion, breathing occurs about 1min, heart rate slowed down to 100 beats / min, immediately given endotracheal intubation Pressure bladder ventilation, the establishment of venous access. Naloxone 0.06mg 5ml glucose 5ml static push, 15min and 1h after each repeat 1, at the same time cerebrolysin 5ml plus 5% glucose 20ml intravenous drip and anti-shock to correct acidosis. Half an hour or so children with spontaneous respiration established, but the phenomenon of apnea, plus scopolamine 0.1mg plus 5% glucose 10ml intravenous drip; lh children with breathing rules, ruddy, cry after dialing. Continue to cerebrolysin, scopolamine treatment for 3 days cured.