论文部分内容阅读
例1:男,4岁。于1986年8月14日7时因误服灭鼠优粉2小瓶(每瓶3.5g,含灭鼠优5％,总量175mg),半小时后急诊室洗胃,静脉补液等处理,于夜10时左右表现烦躁不安、口吐白沫,高热达39.6℃,口渴、尿少,翌晨收入病房。体检:T39.8℃,P122次/分,R34次/分,BP11.4/8.0kPa面苍,口腔粘膜正常,唇干,心肺(-),无压痛、肝脾未触及。住院第二天始腹痛、腹泻,大便呈水样或泡沫状粘液稀便,无脓血,但有里急后重感,腹泻症状渐日剧增,多则20~+次/日,少则7～8次/日,食欲且减,精神日渐萎靡,神志淡漠。住院第五天开始意识模糊,胡言乱语、兴奋和抑制交替出现,四肢麻木,腱反射消失、肌力Ⅱ级,患儿消瘦,体温持续在38—39℃。住院期间以烟酰胺、胰岛素,肾上腺皮质,激素、维生素、支持疗法、青霉素等。出院时体温仍在37.8℃左右。
Example 1: Male, 4 years old. At 7 o’clock on the August 14, 1986 due to accidental service rodent powder 2 vials (3.5g per bottle, containing rodenticide 5% of the total 175mg), half an hour after the emergency room gastric lavage, intravenous rehydration and other treatment at About 10 o’clock at night performance irritability, foaming at the mouth, high fever reached 39.6 ℃, thirst, oliguria, the next morning income ward. Physical examination: T39.8 ℃, P122 beats / min, R34 beats / min, BP11.4 / 8.0kPa face Cang, normal oral mucosa, lip dry, cardiopulmonary (-), no tenderness, liver and spleen not touched. The first day of hospitalization began abdominal pain, diarrhea, stool was watery or foamy mucus loose stools, no sepsis, but tenesmus, diarrhea symptoms gradually increased, as many as 20 ~ + times / day, ranging from 7 to 8 Times / day, loss of appetite, the spirit of the increasingly apathetic, apathetic mind. The fifth day of hospitalization began to be confused, nonsense, alternating excitement and depression, limb numbness, disappearance of tendon reflexes, grade Ⅱ muscle, weight loss in children, body temperature continued at 38-39 ℃. Nicotinamide during hospitalization, insulin, adrenal cortex, hormones, vitamins, supportive therapy, penicillin and so on. Body temperature at discharge is still about 37.8 ℃.