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王×,男,2天,一胎足月正常分娩,母健。晨6时许因发热其母给服四环素(0.25克/片)及安乃近(0.5克/片)各1/4片,一小时后发现患儿呼吸浅促而不规则,面口青紫,继而口吐白沫,于79年10月2日8时30分入院。查体:发育正常,神志不清,面色苍白,唇周及四肢末梢灰紫色,口鼻有大量稀薄白色泡沫痰不断涌出,呼吸浅弱不规则,并伴有下颌运动。体温42℃以上,脉搏250次/分,呼吸36次/分。未见出血点及皮疹,颈静脉不怒张,两肺布满中、小湿罗音,心界正常,心音低弱,呈奔马律,未闻杂音。腹略胀,肝在肋下1cm可及、质软,脾未及。脐带蒂干燥,周围无红肿。余未见异常。血常规:红细胞590万,血红蛋白16.4克,白细胞13100,中性76%、淋巴22%、单核2%,嗜酸性细胞计数44个。治疗经过:8时45分皮注山梗菜碱3mg,
Wang ×, male, 2 days, a full term normal childbirth, mother health. Early morning at 6 am due to fever mother to take tetracycline (0.25 g / tablet) and metamizole (0.5 g / tablet) each 1/4, an hour later found that children with shallow and irregular breathing, facial bruising, Then foaming at the mouth, at 0830 on October 2, 79 admission. Physical examination: normal development, unconsciousness, pale, lip peripheral and extremities gray purple, a large number of thin nose and mouth sputum phlegm continued to pour, weak and irregular breathing, accompanied by jaw movements. Body temperature above 42 ℃, pulse 250 beats / min, breathing 36 beats / min. No bleeding point and rash, jugular vein does not anger, both lungs full, small wet rales, normal heart, low heart sound, was galloping, unheard noises. Abdominal swelling, liver 1cm in the ribs accessible, soft, spleen and time. Umbilical pedicle dry, no swelling around. I no abnormalities. Blood: RBC 5.9 million, 16.4 grams of hemoglobin, leukocyte 13100, 76% neutral, lymphatic 22%, mononuclear 2%, eosinophil count 44. Treatment after: 8:45 Pill Berberine 3mg,