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患儿,女,11个月。因其叔叔在家吸食海洛因,将剩余海洛因放于桌上,其用手醮食之,总量约3分(3/10g)。晨起,其母发现其思睡,疑为海洛因中毒。自行将500ml盐水喂下,催吐,无效。患儿逐渐呼之不应,口唇紫绀半小时,于2000年12月13日早晨9时25分来诊。入院查体:体温不升,脉搏110次/min,一般情况差,口唇、颜面重度紫绀,高度呼吸吸抑制,呼吸浅慢仅6次/min,四肢湿冷,深昏迷状,颈软,双侧瞳孔等大,如针尖大小,向右上方固定,对光反射迟钝,心率110次/min,律齐,双肺可闻及散在湿罗音,腹平软,肝于剑突下2cm,右肋下及边,质软。急诊心电图:提示窦速。血常规:白细胞12.8×10~9/L,中
Children, women, 11 months. Because her uncle smoked heroin at home, the remaining heroin was placed on the table, the total amount of about 3 points (3 / 10g). Morning, the mother found that it sleepy, suspected of heroin poisoning. Feeding 500ml saline, vomiting, invalid. Children should gradually call should not, lips cyanosis for half an hour, December 13, 2000 at 9:25 to consult. Admission examination: body temperature does not rise, the pulse of 110 beats / min, the general situation is poor, lips, face severe cyanosis, a high degree of respiratory depression, breathing slow and slow only 6 times / min, limbs cold and cold, Pupil and other large, such as the size of the tip, fixed to the right, slow light reflex, heart rate 110 beats / min, law Qi, lungs can be heard and scattered wet rales, abdominal soft, liver in the xiphoid 2cm, right rib Under and side, soft. Emergency ECG: Tips sinus speed. Blood: WBC 12.8 × 10 ~ 9 / L, in