论文部分内容阅读
例1:男患儿,1岁。因咳嗽、气喘3天入院。查体:体温37.5℃,心率150次/min,呼吸50次/min,发育正常,神清,呼吸急促,心脏听诊无异常,两肺有哮鸣音,肝脾不肿大。化验白细胞20×10~9/L,N75%,L25%,X 线提示两肺纹理增强,血生化、尿、大便,心电图均正常。入院给予吸氧,静推50%葡萄糖20ml 加氨茶碱16mg,未用其他药物。当缓慢静脉注射氨茶碱2分钟,患儿突然出现呼之不应,心跳停止,继之呼吸也停止,立即停用氨茶碱,给予人口呼吸,胸外心脏按压,心室腔内注射肾上腺素,异丙肾上腺素,阿托品三联针。半小时后抢救无效死亡。
Example 1: male child, 1 year old. Due to cough, asthma admitted for 3 days. Examination: body temperature 37.5 ℃, heart rate 150 beats / min, breathing 50 beats / min, normal development, Shen Qing, shortness of breath, auscultation of the heart was normal, both lungs wheeze, liver and spleen not swollen. Laboratory white blood cells 20 × 10 ~ 9 / L, N75%, L25%, X-ray showed enhanced lung tissue, blood biochemistry, urine, stool, ECG were normal. Admission to give oxygen, static push 50% glucose 20ml plus aminophylline 16mg, no other drugs. When slowly intravenous injection of aminophylline for 2 minutes, the child suddenly appearing should not call, heartbeat stopped, followed by breathing also stopped, immediately stop using theophylline to give the population breathing, chest compression, intracardiac injection of epinephrine , Isoproterenol, atropine triple needle. Half an hour after the rescue died.