论文部分内容阅读
男婴,4个月,人工喂养。于1988年2月19日16时急诊入院。1周前曾患肠炎。入院前半小时于吃奶中突然口唇颤动、面色苍白、四肢厥冷、一过性失去知觉。查体:体温36.8°c,神萎,唇苍白,四肢冰冷,甲皱微循环差。前囟平,颈软,佛斯特征(+),心、肺、腹无异常。血白细胞11.0×10~9/L,中性0.68,淋巴0.32。入院后给阿托品1mg每半小时静注一次,治疗1天(总量达40mg),面色稍改善,但仍肢冷。又给5％碳酸氢钠20ml静注亦无好转。结合病史考虑到低钙血
Baby boy, 4 months, artificial feeding. At 19:00 on February 19, 1988 emergency admission. Enteritis 1 week ago. Half an hour before admission in the nurse suddenly lips quivering, pale, extremities Jue Leng, transient loss of consciousness. Physical examination: body temperature 36.8 ° c, Shen Wei, pale lips, cold limbs, nail fold microcirculation poor. Anterior fontanelle, neck soft, Firth features (+), heart, lung, abdomen without exception. Blood leukocytes 11.0 × 10 ~ 9 / L, neutral 0.68, lymph 0.32. Atropine 1mg intravenously once every half hour after treatment, treatment for 1 day (a total of 40mg), looking slightly improved, but still limb cold. Give 5% sodium bicarbonate 20ml intravenous did not improve. Taking into account the history of hypocalcemia