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患儿男,4岁,因“昏迷、呼吸困难、紫绀2小时就诊。体检:体温 36.8°C, 呼吸 60次/分,血压 80/60毫米汞柱(10. 7/8.0 kPa)。面部及全身皮肤呈青灰色。瞳孔对光反应迟钝。颈部无抵抗。心音低钝,心率140次/分,律齐,未闻杂音。肺无罗音。腹软,肝脾未触及。神经系统检查无异常,来急诊后即给予吸氧,静脉点滴能量合剂、氢化可的松等药物。1小时后病情无改善、面部及全身皮肤紫灰、发凉、深昏迷,瞳孔对光反应消失,呼吸浅慢,血压 60/40毫米汞柱
Child, male, 4 years old, was admitted to hospital for 2 hours due to coma, difficulty breathing and cyanosis Physical examination: body temperature 36.8 ° C, breath 60 / min, blood pressure 80/60 mm Hg (10.7 / 8.0 kPa) The whole body was bluish gray skin pupil response to light. Neck non-resistance. Heart sound low blunt, heart rate 140 beats / min, law homogeneous, unheard noise. Lung non-rales. Abdominal soft, liver and spleen not touched. No abnormalities, to the emergency after giving oxygen, intravenous drip energy mixture, hydrocortisone and other drugs .1 hours after the disease did not improve, facial and systemic skin purple, cold, deep coma, the pupil light reaction disappeared, breathing Slow, blood pressure 60/40 mm Hg