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霉变甘蔗中毒引起的脑病易被误诊而延误治疗,后遗症增加.将收治两例报告如下.一、病例例1,刘××,女,4岁.食甘蔗后腹痛呕吐12小时入院,入院前12小时食当地购买甘蔗一小节(约4～5寸),未发现甘蔗变色,仅有苦味.食后1小时感腹痛,频繁呕吐,3小时后烦躁及嗜睡交替出现,阵发性牙关发紧,无剧烈头痛.查体:呼吸32次/分,血压90/60,嗜睡状,有时烦躁,呼吸平稳,面色暗红,双瞳孔等大等圆,直径1毫米,对光反射迟钝,腹柔软,无包块,无压痛,肝大肋下
Mucous cane poisoning caused by encephalopathy easily misdiagnosed and delayed treatment, sequelae increased .Two cases will be treated as follows .A case of cases 1, Liu × ×, female, 4 years old .Repeated cane after abdominal pain and vomiting 12 hours before admission, before admission 12 hours to eat a small section of the local purchase of sugar cane (about 4 to 5 inches), did not find sugar cane discoloration, only bitterness .1 hour after eating a sense of abdominal pain, frequent vomiting, irritability and somnolence alternating after 3 hours, paroxysmal hair tight , No severe headache. Examination: breathing 32 beats / min, blood pressure 90/60, drowsiness, and sometimes irritability, breathing steady, dark complexion, double pupil and other large round, diameter 1 mm, slow light reflex, abdomen soft , No mass, no tenderness, liver ribs