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患儿张某某,男 3(1/12)岁。因突然周身皮肤搔痒心悸1小时,于1986年2月17日就诊。 查体:体温正常,脉搏短绌,颜面及躯干可见散在鲜红片状斑丘疹,质硬。咽部充血、水肿。心律94次/分,节律不齐,可闻及不规律早搏,第一心音增强,第二心音减弱,两肺正常。腹软、肝脾未及。 心电图检查:定性频发性早搏。 诊断:荨麻疹合并心律失常。 处理:给予盐酸异丙嗪3mg 3/日,25％葡萄糖10ml加入氯化钙0.5g缓慢静推。
Zhang Moumou children, men 3 (1/12) years old. Due to a sudden whole body skin itching palpitations 1 hour, on February 17, 1986 treatment. Physical examination: normal body temperature, shortness of breath, face and torso scattered in bright red patchy rash, hard. Throat congestion, edema. Heart rate 94 beats / min, irregular rhythm, can be heard and irregular premature beats, the first heart sound increased, the second heart sound weakened, both lungs normal. Abdomen soft, liver and spleen not yet. ECG: qualitative and frequent premature beats. Diagnosis: Urticaria with arrhythmia. Treatment: given promethazine hydrochloride 3mg 3 / day, 25% glucose 10ml calcium chloride 0.5g slow static push.