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有机磷农药中毒诊断一般并不困难,但在幼儿、昏迷、接触史不详及病人有意隐瞒的情况下,常可造成误诊,甚至引起不良后果。为总结经验教训,现将我们近几年临床上误诊的病例,报告如下。一、以哭闹、拒乳、两肺干罗音,误诊为过敏性支气管炎。患者,男,5个月,1983年10月17日入院。三日前患儿在夜间睡眠中突然哭闹、拒乳,在当地多次求治无效。二日前发现两肺干罗音,无神,给青霉素、链霉素、甘草片等药仍无效。一日前哭闹、喘,鼻中有泡沫状分泌物滋出。门诊以过敏性支气管炎收入病房。
Organophosphorus pesticide poisoning diagnosis is generally not difficult, but in children, coma, history of exposure and the patient intends to conceal the case, can often result in misdiagnosis, and even lead to adverse consequences. In order to summarize the experience and lessons, the cases that we have clinically misdiagnosed in recent years are as follows. First, to cry, refuse milk, two lung dry rales, misdiagnosed as allergic bronchitis. Patient, male, 5 months old, admitted to hospital on October 17, 1983. Three days ago, children suddenly cry during sleep at night, refused to milk, many times in the local treatment invalid. Two days ago found two lungs dry rales, atheism, penicillin, streptomycin, licorice tablets and other drugs are still invalid. Crying a day ago, wheezing, bubble-like secretions nostrils. Outpatient allergic bronchitis income ward.