论文部分内容阅读
例1,男孩,5月。因腹泻于1992年7月11日来院就诊。查无脱水征,无效,无抽搐,给口服诺氟沙星(0.1g/d,分3次)、多酶片、及酵母片,家长误将一天药量一次服下,并又按正确用量连服3次,次日即发现患儿前囟明显隆起,且吐奶1次,腹泻止,计算该患儿18h内共服诺氟沙星0.2g。经查前囟明显隆起,脑膜刺激征(-),神经系亦无其他阳性体征,未作腰穿,给停服诺氟沙星及对症处理后前囟平复。 例2,女婴,10d。1992年7月19日以新生儿肠炎伴中度脱水、酸中毒入院。查体:中度脱水貌,但前囟饱满,矢状缝增宽约0.8cm。追问病史,患儿生后无窒息及抽搐史,生后第9d乡医曾给诺氟沙星,每次50mg,
Example 1, boy, May. Due to diarrhea in July 11, 1992 to hospital. No signs of dehydration, invalid, no convulsions, to oral norfloxacin (0.1g / d, divided three times), multi-enzyme tablets, and yeast tablets, parents misuse a dose of the drug once a day, and then press the correct amount Even serving 3 times the next day found in children with significant bulging bregma, and spit milk 1, diarrhea only, the calculation of the children within a total of 18h Norfloxacin 0.2g. After the investigation, the anterior fontanelle bulge, the meningeal irritation sign (-), and the nervous system had no other positive signs. The lumbar puncture was not used. The norfloxacin and symptomatic treatment of the anterior fontanelle were repeated. Example 2, baby girl, 10d. July 19, 1992 Neonatal enteritis with moderate dehydration, acidosis hospitalized. Physical examination: moderate dehydration appearance, but full of anterior fontanelle, sagittal suture widening about 0.8cm. Asked history, children without postnatal asphyxia and convulsions, 9d after birth, rural doctors had given norfloxacin, each 50mg,