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患儿,男,2月龄。因服罂粟壳等药后出现昏迷、呼吸弱2小时就诊。于11天前患儿腹泻蛋花水样便日10余次,经院外治疗无效,但神志清楚。于4小时前其父以粟壳、乌梅各30g,大枣10g,煎水约60ml,患儿约一次服下30ml。2小时后啼哭、烦躁不安,呼吸急促,约半小时转入嗜睡、无反应,呼吸慢。体检:T38.40℃,前囟平,浅昏迷状,压眶反射减弱,面色苍白,双朣孔针尖大,对光反射弱,唇发绀。心率160次/min,律齐,无杂音。肺呼吸音减弱,浅表,呼吸20次/min,不规则,无罗音,腹(-),脑膜刺激征(-)。血常规:Hb184.8g/L,RBC6.40×10~(12)/L,WBC
Children, male, 2 months old. Due to service such as opium poppy shell coma, respiratory weak 2 hours treatment. In 11 days before the children with diarrhea, water-like flowers will be more than 10 times, after treatment ineffective, but conscious. 4 hours before his father to the millet, plum each 30g, jujube 10g, Jianshui about 60ml, about 30ml for children taking. 2 hours after crying, restlessness, shortness of breath, about half an hour into drowsiness, no response, slow breathing. Physical examination: T38.40 ℃, anterior fontanel, shallow coma, pressure orbital reflex weakened, pale, double cusp hole needle tip, weak light reflection, cyanosis lips. Heart rate 160 beats / min, law Qi, no noise. Lung breath sounds weakened, superficial, breathing 20 beats / min, irregular, no rales, abdomen (-), meningeal irritation (-). Blood: Hb184.8g / L, RBC6.40 × 10 ~ (12) / L, WBC