论文部分内容阅读
例1 男孩(住院号6852),8个月。六小时来嗜睡,于1963年10月15日夜急诊入院。患儿近六天来咳嗽,用各种方法治疗无效,相继服可待因三次,每次7.5毫克(总量22.5毫克),第三次服后20分钟,表现明显嗜睡,呼吸缓慢,知觉迟钝,面色口唇发白。体征:昏睡状态,对外界反应迟钝,面色苍白,二侧瞳孔对称性缩小,如针尖大。呼吸深而缓,20次/分,肺中偶闻中水泡音。心跳速,160次/分,心律齐。治疗经过:即给尼可拉明及咖啡因各0.3毫升,交替皮下注射每三小时一次,间断吸氧。静脉滴入10%葡萄糖500毫升加维生素丙200毫克,肌肉注射青霉素及链霉素等,次日中毒症状消失。
Example 1 boy (hospital number 6852), 8 months. Six hours to sleepiness, night emergency on October 15, 1963 admission. Children with cough in the past six days, with various methods of treatment ineffective, one after another three times with codeine, each 7.5 mg (22.5 mg total), the third 20 minutes after serving manifest drowsiness, slow breathing, slow sensation , Looking lip white. Signs: lethargic state, unresponsive to the outside world, pale, bilateral pupil symmetry reduced, such as the tip of a large needle. Breathing deep and slow, 20 beats / min, even in the lungs in the blisters sound. Fast heart rate, 160 beats / min, heart rate Qi. After treatment: Nicorandil and caffeine each 0.3 ml, alternating subcutaneous injection once every three hours, intermittent oxygen. Intravenous infusion of 10% glucose 500 ml plus vitamin C 200 mg, intramuscular injection of penicillin and streptomycin, etc., the next day the symptoms of poisoning disappear.