患儿女,4岁。生后母乳喂养,未服用过奶粉及炼乳。于1986年7月21日晨7时冲服牛奶粉约250ml,10min 后即出现躁动不安,面色发紫,双目凝视,呼之不应,遂立即就诊。查体:T、P 及BP 均正常,心肺(-),反应差。查咽部时由于压舌板刺激,患儿当即吐出乳汁约200ml,嘱平卧于观察室内,约0.5h 后面色转红,反应灵敏,继续观察4h 一切正常回家。最后确定为奶粉严 Children with children, 4 years old. Breastfeeding after birth, not taking milk powder and condensed milk. In July 21, 1986 at 7 o’clock on the morning of 7 servings of milk powder about 250ml, after 10min appeared restless, looking purple, eyes staring, call should not, then immediately see a doctor. Physical examination: T, P and BP are normal, cardiopulmonary (-), poor response. Check the pharynx due to tongue depressant stimulation, children immediately spit out about 200ml of milk, told lie flat in the observation room, about 0.5h after the color turn red, responsive, continue to observe all the normal home 4h. Finally identified as milk powder strict