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1~3%碳酸氢钠溶液临床上常用作清洗口腔治疗鹅口疮,近来我科发现2例由此引起的新生儿惊厥,报道如下。例1 男、21天。因四肢抽搐一日余入院。患儿因鹅口疮而给予2%碳酸氢钠溶液洗口腔,两天共用了40ml。用药当天出现烦躁,易惊,不吃等症状,次日入睡后四肢频频抽搐,每次持续数秒至十数秒,间歇约1~5分钟。起病后无呕吐、无尖叫、无出血症状。混合喂养、母乳为主。体检:发育正常,营养良好,无发烧,体检过程中约每3—5分钟发作抽搐一次,每次数秒至十数秒,发作时意识丧失,头向右歪,双眼凝视,下颌抽动,四肢强直,发作停息后自然啼哭。皮肤无黄染,颅
1 ~ 3% sodium bicarbonate solution clinically used to clean the mouth treatment of thrush, recently found 2 cases of neonatal convulsions, which are reported as follows. Example 1 male, 21 days. Because of limbs twitching more than one day admitted to hospital. Children with thrush given 2% sodium bicarbonate solution mouth wash, shared 40ml for two days. The day of medication appears irritability, easy to panic, do not eat and other symptoms, the limbs frequently twitch after falling asleep the next day, each lasting several seconds to ten seconds, intermittent about 1 to 5 minutes. No vomiting after onset, no screaming, no bleeding symptoms. Mixed feeding, breast-based. Physical examination: normal development, good nutrition, no fever, physical examination about every 3-5 minutes of seizures, once every few seconds to ten seconds, episodes of loss of consciousness, head to the right crooked, staring eyes, jaw twitching, Episode cry after the natural cries. Skin without yellow dye, skull