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患儿男,2岁,3天前无明显诱因发烧,且抽搐。门诊确诊为乙脑,收住院。给予静脉输液,用青霉素240万U,氨基苄青霉素1.0g,氟美松2mg抗感染,20％甘露醇降颅内压。降温、止惊对症治疗,4天后症状减轻,但患儿口腔颊部粘膜,舌上出现乳块状附着物,考虑为鹅口疮,给予制霉菌素5万U涂局部。1小时后,患儿出现烦躁不女,呼吸急促,全身可见大小不等的斑丘疹。第一次用制霉菌素,可能为其引起的过敏反应,立即吸氧、氟美松2mg静推,肌注非那根12mg,10％葡萄糖酸钙10ml加10％葡萄糖30m静推,20分钟后,上述症状减轻,24小时后皮疹消退。
Children male, 2 years old, 3 days ago no obvious incentive to fever, and convulsions. Outpatient diagnosis of Japanese encephalitis, admitted to hospital. Give intravenous infusion, with penicillin 2.4 million U, ampicillin 1.0g, dexamethasone 2mg anti-infective, 20% mannitol decreased intracranial pressure. Cooling, halt the symptomatic treatment, 4 days after the symptoms alleviate, but in children with oral buccal mucosa, milk appears on the tongue attached to the tongue, consider thrush, give nystatin 50000 U coated local. 1 hour later, children with irritability, shortness of breath, the whole body can be seen ranging from the size of rash. The first use of nystatin, may be caused by allergic reactions, oxygen immediately, 2 mg of dexamethasone push, intramuscular injection of non-root 12mg, 10% calcium gluconate 10ml plus 10% glucose 30m static push, 20 minutes After the above symptoms alleviate, 24 hours after the rash subsided.