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患儿,男,10岁,8小时前因皮肤丘疹发痒,误将2支(每支2ml)速灭杀丁作维丁胶性钙臀部肌注,注射后局部胀痛,头晕,心悸,乏力,行走困难,当地肌注阿托品0.5mg 转来。查体:体温37.7℃,脉搏106次/分,血压16/9.6KPa,皮肤干燥,散在丘疹,颜面潮红,瞳孔大小正常,两侧等大,光反射存在,心肺肝脾及神经系统无异常发现,右臀注射部位以针眼为中心,有4×5cm~3肿胀、触痛区,血、尿、粪、肾功均正常。入院后补液、止痛,见局部肿胀范围继续扩大,10小时后局部穿
Children, male, 10 years old, 8 hours ago itchy skin pimples, mistakenly 2 (each 2ml) speed kill small buttocks butadiene rubber calcium buttocks intramuscular injection, local pain after injection, dizziness, palpitations, fatigue, Difficulty walking, local intramuscular injection of atropine 0.5mg. Examination: body temperature 37.7 ℃, pulse 106 beats / min, blood pressure 16 / 9.6KPa, dry skin, scattered in the papules, facial flushing, pupil size is normal, both sides of the other large, light reflection exists, no abnormal heart, lung, liver and spleen and nervous system Right hip injection site to the needle eye as the center, with 4 × 5cm ~ 3 swelling, tenderness area, blood, urine, fecal, renal function are normal. Rehydration after admission, analgesic, see the scope of local swelling continued to expand, local wear after 10 hours