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例1:男,3岁。因呼吸困难、昏迷入院.体检:深昏迷,口唇发绀,口鼻涌出粉红色泡沫痰,大汗,两肺满布痰鸣音,心音不清,肝肋下1.5cm,拟诊为支气管肺炎并左心衰。立即给予吸氧、吸痰,静注西地兰、速尿等治疗无效。患儿呼吸困难加重,瞳孔小如针尖,即试用阿托品2mg,每15分钟静注一次,解磷定0.5g 静滴。2小时后阿托品用至16mg 时患儿清醒,继续使用阿托品、解磷定维持治疗,5天后痊愈出院。追问病史,患儿家长入院前晚为灭蚊在患儿床四周洒下50%乐果液150ml,致使患儿由呼吸道吸入中毒。
Example 1: Male, 3 years old. Physical examination: dark coma, lips cyanosis, phlegm and phlegm, gout, lungs covered with phlegm, heart sounds unclear, liver ribs 1.5cm, to be diagnosed as bronchial pneumonia And left heart failure. Immediately give oxygen, suction, intravenous cedilan, furosemide and other treatment is invalid. Children with dyspnea increased pupil small tip, that is, try atropine 2mg, intravenously once every 15 minutes, phosphorus solution set 0.5g intravenous infusion. 2 hours after atropine to 16mg when the children awake, continue to use atropine, phosphorus maintenance therapy set, 5 days after discharge was cured. Asked history, parents of children with mosquitoes in the night before hospital admission sprinkled 50% dimethoate 150ml around the bed, causing children to be inhaled by the respiratory tract poisoning.