论文部分内容阅读
患儿,男性,8个月,因发热,排黄色稀便2天入院。诊断为小儿肠炎,给予抗炎,补液治疗。次日晚,患儿兴奋不安,面色紫绀,瞳孔缩小约1mm。10分钟后患儿昏迷,呼吸浅慢,14次/分,紫绀加重,鼻腔涌出白色分泌物,两肺满布大中水泡者,心率120次/分。考虑为急性肺水肿。立即吸氧,吸痰,静推毒毛K,洛贝林、654-2,氟美松,速尿。抢救半小时后,患儿突然出现哭声,继之神志清楚,面色转红润,两肺罗音逐渐消失。询问病史,其母擅自给患儿服用吗啡用于止泻。一天共服3片(50mg/片),致患儿中毒,经抢救症状消失。
Children, men, 8 months, due to fever, row yellow loose stool 2 days admission. Diagnosis of children with enteritis, given anti-inflammatory, fluid treatment. The next night, children excited, looking cyanotic, pupil shrinkage of about 1mm. 10 minutes after the patient coma, breathing shallow, 14 beats / min, cyanosis increased nasal discharge white secretions, lungs covered with large and medium blisters, heart rate 120 beats / min. Considered acute pulmonary edema. Immediate oxygen, suction, static push poison fur K, Lobeline, 654-2, dexamethasone, furosemide. Half an hour after the rescue, the child suddenly cries, followed by the conscious, complexion turned ruddy, lung rales gradually disappeared. Ask the medical history, the mother took morphine for children to stop diarrhea without permission. A total of three servings a day (50mg / tablet), resulting in children with poisoning, the symptoms disappeared.