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1 病史介绍 患儿陈三三,女,32天,发热,抽搐1小时。患儿3天前开始发热,体温高达40℃,无咳嗽,有时吐奶,大便稀,每天5～6次,量不多。去当地个体诊所给复方氨基比林1/3支、地塞米松1/4支、先锋6号1/3支肌注,每天下午1次,连用3天。口服止痛片1/4片,每天3次。用药后第3天晚上约7点左右突然抽搐、面色苍白,双眼上翻、哭闹、烦躁、气促。查体:T37℃、P160次/分、R60次/分,WT(体重)3kg,神志不清,全身皮肤苍白,面部灰白,前囱1.8cm×1.8cm,凹陷,双眼上翻,凝视,双瞳孔等大等圆,直径约2.5mm,对光反射迟钝,口唇干燥,苍白,张口呼吸,
A history of children with Chen San, female, 32 days, fever, convulsions 1 hour. 3 days ago, children with fever, body temperature up to 40 ℃, no cough, and sometimes spit milk, thin stools, 5 to 6 times a day, a small amount. To the local individual clinics to compound aminopyrine 1/3, dexamethasone 1/4, Pioneer 6 1/3 muscular injection, every afternoon 1, once every 3 days. Oral analgesic tablets 1/4, 3 times daily. On the third day after treatment, the patient suddenly twitched about 7 o’clock at night, his face pale, his eyes turned upside down, crying, irritability and shortness of breath. Examination: T37 ℃, P160 beats / min, R60 beats / min, WT (weight) 3kg, unconscious body pale, facial gray, front chimney 1.8cm × 1.8cm, depression, eyes upside down, gaze, double Pupil and other large circle, diameter of about 2.5mm, slow light reflex, dry lips, pale, mouth breathing,