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例1,男,6个月,因腹泻2天给予中药加味参苓白术散(党参6g、云苓6g、白术3g,甘草3g山药6g、泽夕6g,米壳3g)煎服治疗,服药后2小时病儿出现双眼上翻,口紧。查体:发育营养欠佳,神志清楚,前囟平坦,双眼向上凝视,口紧不能张开,不时出现吸吮动作,四肢肌张力增高。外周白细胞8.7×10~9/L,中性63%,淋巴37%。考虑药物致肌紧张不全综合征,给予654-22.0毫克鲁米那钠30毫克肌注,一小时后症状缓解,半天后症状消失,观察2天痊愈出院。
Example 1, male, 6 months, due to diarrhea 2 days to give Chinese herbal medicine Shenling Baizhu San (Codonopsis 6g, Yunling 6g, Atractylodes 3g, licorice 3g yam 6g, Ze Xi 6g, rice shell 3g) decoction treatment, Two hours sick children appear double-fold, mouth tight. Physical examination: poor developmental well-being, conscious, bland flat, eyes staring upward, tight mouth can not open, sucking movements from time to time, limb muscle tension increased. Peripheral white blood cells 8.7 × 10 ~ 9 / L, neutral 63%, lymphatic 37%. Consider drug induced hypertrophic syndrome, given 654-22.0 mg of luminal sodium 30 mg intramuscular injection, an hour after the symptoms were relieved, the symptoms disappeared after a half-day observation of 2 days were discharged.