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患儿男,4m,8kg。因咳嗽3天,于2000年3月19日以“上呼吸道感染”收住院。WBC 15.0×10~9/L,N 0.72,L 0.28。入院后给予常规超声雾化、止咳、对症抗炎治疗。抗生素选用头孢唑林0.5/日静滴,第2日改为头孢曲松(菌得治),0.6/日分两次静滴。第1次菌得治静滴约1/2量(12:30pm)时患儿出现精神烦燥,哭闹不安,面色潮红。听诊:心率240～250次/min,无杂音,肝脾未触及。给予冬眠灵、非那根各8mg静注,无效,1h后重复1次,仍无效,于3pm给于毒毛旋花子甙K0.06mg静注、呋塞米6mg静注,症状稍缓解,心率下降至 180次/min。当第 2次静滴菌得治过程中再次出现烦燥不安、哭闹。查体:T36.2℃,精神时而烦燥,时而萎靡,神志略痴呆。面色潮红,呼吸急促口唇微绀。颈稍硬,前囟张力
Children male, 4m, 8kg. Due to cough for 3 days, on March 19, 2000 to “upper respiratory tract infection” admitted to hospital. WBC 15.0 × 10 ~ 9 / L, N 0.72, L 0.28. After admission to give conventional ultrasonic atomization, cough, symptomatic anti-inflammatory treatment. Antibiotic cefazolin 0.5 / day intravenous infusion, the second day to ceftriaxone (bacteria were treated), 0.6 / day intravenous infusion. The first bacteria was treated with intravenous infusion of about 1/2 volume (12:30 pm) children with mental irritability, crying uneasy, flushed. Auscultation: heart rate 240 ~ 250 times / min, no noise, liver and spleen not touched. Given winter sleep Ling, each non-root 8mg intravenous injection, invalid, 1h after repeated 1, still ineffective, at 3pm to poisonous hair spinosad K0.06mg intravenous furosemide 6mg intravenous injection, the symptoms slightly relieved, heart rate Drop to 180 beats / min. When the second intravenous infusion of bacteria again in the process of irritability, crying. Physical examination: T36.2 ℃, mental irritability from time to time, sometimes apathetic, dementia slightly dementia. Face flushing, shortness of breath lips micro cyanosis. Slightly stiff neck, anterior fontanel tension