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肠原性青紫在农村基层较为常见,但乳原性婴儿肠原性青紫却罕见。我县人民医院儿科最近收治1例,现报告如下: 临床资料患儿,男,35天(8个月早产儿)。因全身皮肤青紫6小时入院。发病前其母吃了3天前采的熟香菇1碗,患儿2小时后吸乳,15分钟后即出现全身皮肤青紫,呼吸急促,急诊入院。体检:T35.6℃,P145,R62,神清,反应差,口唇粘膜、全身皮肤青紫。呼吸急促,呼吸音粗糙,心律齐,心音稍低,各瓣膜区未闻及病理性杂音。腹软,脊柱、四肢无畸形。否认服用其它食物史。处理:立即给氧,东莨菪碱0.1mg,静注,连续2次,10分钟后全身青紫现象仍未改善,拟诊为肠原性青紫,进行诊断性治疗,给美蓝3mg加入50%葡萄
Enterocolitis bruising is more common in rural grass-roots, but mastitis infant infantile enterocolitis is rare. My county People’s Hospital Pediatrics recently admitted in 1 case, are as follows: Clinical data of children, male, 35 days (8 months premature children). Due to systemic bruising 6 hours admission. Before eating, his mother ate 1 bowl of cooked shiitake 3 days ago. After 2 hours, the child suckled milk. After 15 minutes, the whole body bruising, shortness of breath and emergency room were admitted. Physical examination: T35.6 ℃, P145, R62, Shen Qing, poor response, lip mucosa, systemic skin bruising. Shortness of breath, rough breathing sounds, heart rate Qi, heart sounds slightly lower, the valve area is not known and pathological murmur. Abdomen soft, spine, limbs without deformity. Denied taking other food history. Treatment: Immediate oxygen, scopolamine 0.1mg, intravenous injection, 2 times in a row, after 10 minutes the body bruising phenomenon has not improved, to be diagnosed as enterocolitis, for diagnostic treatment, to methylene blue 3mg 50% grape