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患者,女,2岁。因误食用一六零五拌过的花生米2粒,当即在本村卫生室就诊,给予蓝矾溶液反复洗胃,2小时后患儿出现剧烈呕吐,吐出物呈咖啡样,另烦躁,哭闹,面色发黄,四肢发凉,急转来本院。查体:急性病容,精神萎靡,神志尚清,面色黄白,瞳孔正常,结膜及口唇苍白,颈软,双肺呼吸音清,心率120次/分,心音有力,心律规整,心尖部闻及2/6sm杂音,腹稍隆,上腹压痛,肝脾未触及,四肢活动可,肌张力正常,病理反射阴性。化验:血CHE50u,Hb50g/L,RBC2.50×10~(12)/L.网织红细胞15％,WBC4.5×10~9/L,N 0.70,L 0.30。初诊:蓝矾中毒、溶血性贫血。给予胃内插管引流、补液、激素等处理。次日患儿贫血加
Patient, female, 2 years old. Due to the mistaken consumption of 1605 peanuts mixed two, immediately in the village clinic, give blue and blue solution repeatedly gastric lavage, 2 hours after the patient showed severe vomiting, vomit was coffee-like, and the other irritable, crying , Looking yellow, cold limbs, urgent to our hospital. Physical examination: acute illness, apathetic, conscious Shangqing, looking yellow and white, normal pupil, pale conjunctiva and lips, neck soft, breath sounds clear lungs, heart rate 120 beats / min, strong heart sounds, regular heart rhythm, / 6sm noise, belly bulge, abdominal tenderness, liver and spleen not touched, limb activity can be normal muscle tone, pathological reflex negative. Assay: blood CHE50u, Hb50g / L, RBC2.50 × 10-12 / L, reticulocyte 15%, WBC 4.5 × 10 ~ 9 / L, N 0.70, L 0.30. New diagnosis: blue alum poisoning, hemolytic anemia. Intubation given to the stomach drainage, rehydration, hormones and other treatment. The next day children with anemia