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重症哮喘是儿科常见急诊之一,若处理不当,容易导致病情加重、呼吸衰竭而死亡。为了提高医疗质量,现就治疗工作中发现的几种错误处理及其防治,提出一些简单的看法,以供参考。一、氨茶碱过量中毒【例1】男孩,3岁,发热3天,入院当天上午开始气喘,在门诊肌注氨茶碱1/5支(100毫克),口服氨茶碱、麻黄素、鲁米那各1/3片,1日3次。因哮喘加重,于下午2时收入院。体检:体温37℃,
Severe asthma is one of the common pediatric emergency, if handled properly, easily lead to aggravating illness, respiratory failure and death. In order to improve the quality of the medical treatment, several kinds of mistreatment and prevention and cure found in the treatment work are put forward, and some simple opinions are put forward for reference. First, aminophylline overdose poisoning [Example 1] boy, 3 years old, fever 3 days, admitted to the hospital the morning of the morning asthma, intramuscular injection of aminophylline 1/5 (100 mg), oral aminophylline, ephedrine, Lumine each 1/3, 3 times on the 1st. Due to the exacerbation of asthma, they were admitted to the hospital at 2 p.m. Physical examination: body temperature 37 ℃,