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氨茶硷中毒在儿科时有发生,其症状严重。为引起注意,现报告如下: 例1 男,8个月,因粘液便4天,在门诊输液,将0.5克的氨茶硷误认氨苄毒霉素加入500ml 10%葡萄糖中静点,输入约400ml时,即50mg/kg,出现烦躁气促、呕吐、吐物为咖啡样物。查体:T38.8℃,呼吸急促、惊厥不止、呕吐频繁,心率240次/分,两肺密布湿罗,Hb100g/l.WBC16.1×10~9/L,NO.63,L0.36,M0.01,粪粘液(+++),白细胞5~8,红细胞2~5,吞噬细胞0-2。入院诊断:(1)氨茶硷中毒;
Aminophylline poisoning occurs in pediatrics, the symptoms are serious. To attract attention, are reported as follows: Example 1 male, 8 months, 4 days due to mucus, infusions in the outpatient, 0.5 g of ammonia theophylline mistakenly added ampicillin added 500ml 10% glucose in the static point, enter about 400ml, that is, 50mg / kg, irritability, irritability, vomiting, spit things like coffee samples. Examination: T38.8 ℃, shortness of breath, convulsions more than vomiting, heart rate 240 beats / min, two lungs dense wet Luo, Hb100g / l.WBC16.1 × 10 ~ 9 / L, NO.63, L0.36 , M0.01, fecal mucus (+++), white blood cells 5-8, erythrocytes 2-5, phagocytic cells 0-2. Admission diagnosis: (1) aminophylline poisoning;