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氨茶硷肌肉注射现已少用,中毒者罕见报导。笔者在门诊中碰到1例,经抢救脱险,现报告如下:(t) 患儿,男,11/2岁。因反复惊厥,剧烈呕吐咖啡样物10小时就诊。患儿在4天前因“上感”、咳嗽、发热在村医疗站用链霉素、复方氨基比林、维生素B_(12)等治疗,无明显好转,咳嗽加剧来门诊前10小时,用氨茶硷1支(500mg/2ml)混于0.5%奴夫卡因1ml内肌注,注射后约半小时,患儿突然惊叫一声,昏倒在床上,抽风、眼球上翻不省人事。惊厥呈阵发性,稍刺激四肢即频繁抽动继之出现恶心呕吐,开始呕吐为所进之食物,后频繁吐咖啡样物。即送乡医院急诊,并注射阿托品
Allergic intramuscular injection is now less used, poisoning rarely reported. I encountered in the clinic in 1 case, after rescue rescue, are reported as follows: (t) children, male, 11/2 years old. Due to repeated convulsions, violent vomiting coffee samples 10 hours treatment. Children with “feeling”, cough, fever in the village medical stations with streptomycin, compound aminopyrine, vitamin B_ (12) and other treatment for 4 days ago, no significant improvement, increased cough 10 hours before the clinic, with Aminophylline 1 (500mg / 2ml) mixed with 0.5% Nuvucaine 1ml intramuscular injection, about half an hour after injection, children suddenly screamed out, collapsed in bed, ventilation, eye up unconscious. Convulsions were paroxysmal, slightly stimulated limbs that frequent tics followed by nausea and vomiting, began to vomit into the food, after the frequent spit coffee samples. That to the township hospital emergency, and injection atropine