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患儿、男、22天。因其母患“精神病”将配制的200ml牛奶掺入甲胺磷3ml,给予喂入约15ml,半小时后被发现送来我院。体检:体温37.4℃,神志不清,反应差,前匈平,双瞳孔约针尖样大小,对光反应迟钝。面色苍白,全身皮肤湿冷。口唇发绀,口吐泡沫。呼吸15次,表浅而不规则,两肺布满湿罗音。心率60次,律齐、心音中强。腹部平软,肝脾肋下未及。实验室检查:血红蛋白16.8g,白细胞8900,中性粒细胞20%,淋巴细胞76%,单核细胞4%。肝功能正常,胆碱脂酶活力测定55μ(正常
Children, male, 22 days. Because of their mother suffering from “mental illness” will be formulated 200ml milk mixed with methamidophos 3ml, give about 15ml, half an hour later was found to be sent to our hospital. Physical examination: body temperature 37.4 ℃, confusion, poor response, the former Hung-ping, double pupil about the tip-like size, slow response to light. Pale skin, body skin wet and cold. Cyanosis lips, vomit foam. Breathe 15 times, superficial and irregular, wet lungs covered with rales. Heart rate 60 times, law Qi, strong heart sound. Abdomen soft, liver and spleen ribs have not yet. Laboratory tests: Hemoglobin 16.8g, white blood cells 8900, 20% of neutrophils, lymphocytes 76%, monocytes 4%. Liver function was normal, cholinesterase activity was 55μ (normal