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婴儿急性氨茶碱中毒国内鲜有报道.现将我院近年抢救成功的2例报道如下.例1:男,17天.第一胎,第一产,足月顺产,母乳喂养,出生体重2.8kg.因发热、腹胀2天于1989年6月13日凌晨釆院急诊.误将氨茶碱针0.25g静脉推入.数分钟后该患儿出现抽搐不止.实验室检查:大便常规白细胞少量.心电图示窦性心动过速.确诊新生儿急性氨茶碱中霉,急性肠炎.予苯巴比妥针剂止惊,并行脱水、利尿、钙剂、抗生素、吸氧等治疗.8小时后患儿仍时有肌肉震颤而续用苯巴比妥小剂量肌注维持.86小时后病情稳定,肌张力恢复正常.共计肌注苯巴比妥65mg.继续按肠炎治疗.8天后痊愈出院.
Infant acute aminophylline poisoning rarely reported in China now in our hospital in 2 cases of successful rescue reported as follows.Example 1: male, 17 days.First child, first birth, term full-term, breast-feeding, birth weight 2.8 kg. Due to fever, bloating 2 days in the early morning of June 13, 1989 emergency hospital mistakenly put 0.25g aminophylline intravenously .After a few minutes the child had convulsions more than.Laboratory examination: stool a small amount of conventional white blood cells Electrocardiogram showed sinus tachycardia diagnosed neonatal acute aminophylline in the mold, acute enteritis, phenobarbital injection only shock, parallel dehydration, diuretic, calcium, antibiotics, oxygen and other treatment .8 hours later Children still have muscle tremors and continue with a small dose of phenobarbital intramuscular maintenance .86 hours after the stable condition, muscle tone returned to normal .Total intramuscular injection of phenobarbital 65mg. Continue to enteritis treatment .8 days after discharge.