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患儿,男,6 2/12岁。于1991年11月30日因咳嗽、咯少量血2天住院。体检:一般情况好,体温正常,呼吸平稳,右肺中上部呼吸音降低。胸片示:右肺上叶不张。拟诊肺炎,肺结核,入院后开始按一般感染处理,次日给予维生素K_1 10mg静脉推注,每天1次对症治疗,连续使用1周时,在推药过程中,患儿出现面色发红,约1分钟推完,3分钟后出现腹痛、恶心、呕吐、面色苍白、大汗、意识不清、脉搏细弱,血压10/0kPa,心率120次/分,心音低钝,呼吸28次
Children, male, 6 2/12 years old. On November 30, 1991 due to cough, a small amount of blood 2 days hospitalization. Physical examination: the general situation is good, normal body temperature, stable breathing, upper respiratory sound in the lower right lung. Chest X-ray showed: the right upper lobe atelectasis. The proposed diagnosis of pneumonia, tuberculosis, according to the general infection started after admission, the next day to give vitamin K_1 10mg intravenous injection, 1 day symptomatic treatment, continuous use for 1 week, during the push drug, children appear pale, about 1 minute push finished, after 3 minutes abdominal pain, nausea, vomiting, pale, sweating, confusion, weak pulse, blood pressure 10 / 0kPa, heart rate 120 beats / min, heart sound low blunt, breathing 28 times