论文部分内容阅读
患儿:男,19个月。反复发热、咳嗽伴呕吐2个月。外院诊断支气管肺炎,经抗生素治疗无效,转入我院。体检:神志清楚,精神差,体温38℃,呼吸28次/分,心率100次/分,头颅后枕部正中有一2cm×2cm 肿块,质软,有压痛,肿块表面头皮有一针尖样孔,双眼视神经乳头水肿。四肢活动好,不能行走,生理反射存在,病理反射未引出。按颅内感染给予抗生素、脱水剂治疗。入院当天晚上患儿神志不清、心率逐渐减慢、呼吸不规则、血压升高,很快出现呼吸、心跳停止。急速行气管插管,球囊加压呼吸,并予以心肺复苏,患儿呼吸、心率逐渐恢复正
Children: male, 19 months. Repeated fever, cough with vomiting for 2 months. Outside the hospital diagnosis of bronchial pneumonia, the antibiotic treatment is invalid, transferred to our hospital. Physical examination: Consciousness, poor spirit, body temperature 38 ℃, breathing 28 beats / min, heart rate 100 beats / min, posterior head occipital a 2cm × 2cm mass in the middle, soft, tenderness, Optic head edema. Limbs activities are good, can not walk, there is physiological reflection, pathological reflex did not lead. According to intracranial infection given antibiotics, dehydration treatment. Children admitted to the hospital the same day unconsciousness, heart rate gradually slowed, irregular breathing, high blood pressure, breathing soon appeared, heartbeat stopped. Rapid tracheal intubation, balloon pressure breathing, and be cardiopulmonary resuscitation, respiratory rate, heart rate gradually recovered positive