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例1:男,4个月。腹泻5天,呼吸不规则3小时急诊入院。院外经西药止泻无效改服中药(含罂粟壳2g),2小时后嗜睡,面色苍白、大汗、呼吸不规则、有暂停现象。体查:体温35.5℃,发育营养欠佳。昏睡,呼吸8～12次,有双吸气、抽泣样呼吸,面色灰白,唇紫绀。前囟张力不高,双瞳孔缩小,光反射迟钝。颈软,双肺(-)。心率60次,不齐,心音低钝。四肢冷,末梢紫绀,肌张力低。诊断为急性罂粟壳中毒、呼衰,婴儿腹泻。予低流量吸氧,碱化尿液,海俄辛0.15mg静注,每15分钟一次。3小时后面色稍转红,汗止,呼吸仍不规则。改海俄辛0.15mg静注,每10分钟一次/5小时后达“阿托品”化呼吸改善。翌日中毒症状消失、呼吸规则,渐减量至停用,总量4mg。治愈。
Example 1: Male, 4 months. Diarrhea 5 days, irregular respiratory 3 hours emergency admission. Outside the hospital antidiarrheal medicine service (including opium poppy 2g), 2 hours later lethargy, pale, sweating, irregular breathing, there is a suspension phenomenon. Physical examination: body temperature 35.5 ℃, poor nutrition. Drowsiness, breathing 8 to 12 times, a double inhale, sobbed breath, pale, lips cyanosis. Anterior fontanel tension is not high, double pupil narrowing, slow light reflex. Neck soft, lung (-). Heart rate 60 times, missing, low heart sound blunt. Cold limbs, peripheral cyanosis, low muscle tension. Diagnosed as acute opium poppy poisoning, respiratory failure, infant diarrhea. To low-flow oxygen, alkalinized urine, sea Ossin 0.15mg intravenously every 15 minutes. 3 hours after the color slightly red, sweat only, breathing is still irregular. Change sea ointment 0.15mg intravenously, once every 10 minutes / 5 hours after up to “atropine” to improve breathing. The next day the symptoms of poisoning disappeared, breathing rules, decreasing to disable, the total 4mg. cure.