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患儿男,7岁.在与伙伴玩耍打逗时,不慎被伙伴用砖击中右大腿外侧摔倒在地.来我院就诊,查体:局部皮肤表面擦伤,皮下瘀血肿胀呈青紫色,经X光检验未见骨折.在家长的要求下做头部CT检查.因患儿不予配合,肌肉注射苯巴比妥钠0.1g(天津市氨基酸公司人民制药厂,批号:960725)约15min后患儿出现烦燥不安,继而全身肌肉颤抖,两拳紧握,牙关紧闭,颈强直后仰,两眼上翻等症.即刻肌注安定10mg,并针刺人中穴,上述症状稍有缓解,20min后又给安定5mg静脉输入,患儿很快全身肌肉呈现松弛状态,颤抖停止,双手
Children, aged 7. At the time playing with friends to play comrades, accidentally being brushed by the partners hit the outside of the right thigh in the fall to the ground. To our hospital, physical examination: local skin surface abrasions, subcutaneous bleeding was Purple, no fracture by X-ray examination at the request of the parents to do the head CT examination .Because the children do not cooperate, intramuscular injection of sodium phenobarbital 0.1g (Tianjin Amino Acid Corporation People’s Pharmaceutical Factory, batch number: 960725 ) About 15min after the onset of irritability in children, and then the whole body muscle trembling, two fist clenched, tightening of the teeth, stiff neck back, eyes upset embolism. Immediate intramuscular stability 10mg, acupuncture and acupuncture points in the hole, A slight relief of the above symptoms, given intravenous infusion of diazepam 20mg 20min later, the child quickly showed muscle relaxation state, shaking stopped, hands