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我院于1986年9月救活1例大剂量咳必清中毒患儿,但发生了广泛脑萎缩,现报告如下。男性,2岁3个月。因误吞咳必清致昏迷抽搐6小时入院。患儿于入院当日曾摔倒一次,枕部着地,无昏迷史。下午在3小时内自行吞服咳必清44片(1100mg)。发现时烦躁不安,面、颈部潮红发热,即送当地卫生院。途中抽搐一次,持续1～2分钟后昏迷。对症处理后急送本院。患儿足月顺产,智力正常。检查:体温40℃,深昏迷,压眶无反应,双瞳孔扩大,光反应消失,眼球固定,睫毛、角膜反射消失,眼底视乳头水肿,视网膜点片状出血,血管明显充盈,全身皮肤潮红发热,表浅静脉充盈,
Our hospital in September 1986 rescued 1 case of high-dose cough Qing poisoning in children, but the occurrence of extensive brain atrophy, are as follows. Male, 2 years and 3 months. Due to swallow cough will clear caused by coma convulsions admitted to hospital for 6 hours. Children fell on the day of admission once, occipital land, no history of coma. In the afternoon within 3 hours of cough must be clean 44 tablets (1100mg). When found irritable, noodles, neck flushing fever, that is, to the local hospitals. Convulsions en route, continued 1 to 2 minutes after the coma. Symptomatic treatment immediately after the hospital. Children with full-term follow-up, normal intelligence. Check: Body temperature 40 ℃, deep coma, pressure orbital non-response, double pupil to expand, the photoreactive disappear, the eye fixed, eyelashes, corneal reflex, retinal papilledema, retinal punctate bleeding, blood vessels significantly filling, systemic skin flushing fever , Superficial vein filling,