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1.病例介绍 患儿,男9个月,住院号23536,主因咳嗽,气喘7—8天以“毛细支气管炎”于1999年8月6日入院。给予先锋霉素,丁胺卡那抗感染治疗外并静脉推注氯丙嗪以镇静平喘,药量1mg/kg计算。用药后很快安静入睡、气喘减轻,4小时后出现强迫性张口、伸舌,颈部向一侧抽动,持续数秒钟至1分钟,自行缓解,在近3小时内共发作8次,性质相同,缓解期间患儿略显烦燥,能吃少量母乳。体格检查:T37.2℃,神志清楚目光呆嘴,呼吸略促,口唇轻微发绀,前囟门平坦,无紧张感,瞳孔等大等圆,对光反射尚灵敏,脑膜刺激征阴性。
1. Case description Children, male 9 months, hospital number 23536, mainly due to cough, asthma 7-8 days to “bronchiolitis” was admitted on August 6, 1999. Give cephalosporins, amikacin anti-infection treatment and intravenous injection of chlorpromazine to calm asthma, the dose of 1mg / kg calculation. Quiet sleep soon after treatment, reduce asthma, forced obstruction 4 hours after the mouth, tongue, neck twitch to the side, lasted for a few seconds to 1 minute, relieve itself in a total of 8 times within the last 3 hours, the same nature , Children during remission slightly irritable, can eat a small amount of breast milk. Physical examination: T37.2 ℃, conscious eyes open, slight breathing, slightly cyanotic lips, anterior fontanelle flat, no tension, pupil and other large circle, the light reflection is still sensitive, negative meningeal irritation.