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患儿,女,8岁,因喘闷、咳嗽半天,于1988年9月12日入院。既往有哮喘反复发作史,无精神病史,检查:体温37.3℃,脉搏160次/分,呼吸46次/分,体重25公斤,神志清楚,烦躁,端坐呼吸,大汗淋漓,面色苍白,口唇发绀,三凹症明显,心率160次/分,律齐,无杂音,两肺满布哮鸣音,可闻及少许湿罗音,腹软,肝右助下1公分,质软,脾未及,指趾端轻度发绀,神经系统检查无异常。实验室检查:白细胞8.6×10~9/L,中性0.6,淋巴0.4,红细胞3.1×10~(12)/L,血红蛋白100g/L,二氧化碳结合力13.47mmol/L,胸片示:两肺纹理增多增粗。入院后给东莨菪硷0.125毫克,加入10％葡萄糖溶液40毫升缓慢静注,以及吸氧,纠
Children, women, 8 years old, because of asthma, cough for a long time, on September 12, 1988 admission. Past history of recurrent asthma attacks, no history of mental illness, examination: body temperature 37.3 ℃, pulse 160 beats / min, breathing 46 beats / min, weight 25 kg, conscious, irritable, sitting and breathing, sweating, pale, lips Cyanosis, three concave obvious, the heart rate of 160 beats / min, law Qi, no noise, two lungs covered with wheeze, can be heard and a little wet rales, abdominal soft, right liver auxiliary 1 cm, soft, spleen And, toe mild cyanosis, no abnormal neurological examination. Laboratory tests: white blood cells 8.6 × 10 ~ 9 / L, neutral 0.6, lymph 0.4, erythrocytes 3.1 × 10-12 / L, hemoglobin 100g / L, carbon dioxide binding power 13.47mmol / L, Increased texture thickening. After admission to scopolamine 0.125 mg, add 10% glucose solution 40 ml slow intravenous injection, as well as oxygen, correction