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患者,女性,3岁。因每次感冒时几乎均伴有少量鼻出血近1年,本次复发3天,于1987年6月19日上午来院诊治。专科检查:鼻腔粘膜略充血,双侧克氏区血管怒张,右侧有0.5×0.3cm粘膜糜烂面,上有少量出血。其他无特殊发现。实验室检查:出、凝血时间、血小板计数均在正常范围。诊断为上呼吸道感染并鼻出血。 将浸渍1％地卡因4滴(约2.5μg)的棉片置右鼻腔粘膜糜烂处,待麻醉生效后,用棉签浸渍20％硝酸银溶液烧灼出血点,然后以生理盐水棉签拭净溃疡面并涂以少许四环素眼膏,肌注安络血10mg,鼻出血停止。但在此后3小时,发现患儿面色苍白,精神萎糜,但无呼吸困难和紫绀。体检:体温36.5℃,双肺未
Patient, female, 3 years old. Because of each cold almost always accompanied by a small amount of epistaxis nearly 1 year, the recurrence of 3 days, in the morning of June 19, 1987 to hospital for treatment. Specialist examination: nasal mucosa slightly hyperemic, bilateral Kirschner vessel vasodilation, right 0.5x0.3 cm mucosal erosion surface, a small amount of bleeding. No other special findings. Laboratory tests: out, clotting time, platelet count are in the normal range. Diagnosis of upper respiratory tract infection and epistaxis. Will be immersed in 1% tetracaine 4 drops (about 2.5μg) of the cotton right nasal mucosal erosions, until the effect of anesthesia, with a cotton swab 20% silver nitrate solution burning cauterization bleeding point, and then with saline cotton swab net ulcer surface And coated with a little tetracycline ointment, intramuscular injection of collateral blood 10mg, epistaxis stop. However, 3 hours later, she found that the child was pale and exhausted, but had no breathing difficulties and cyanosis. Physical examination: body temperature 36.5 ℃, lungs are not