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女,2岁。于1990年10月13日12时急诊入院。患儿手入院前半小时误服息斯敏9片(10mg/片)。服后即被家长发现送我院。入院时无症状,体查、血、尿、粪常规、EKG及胸片均未发现异常。用生理盐水洗胃,50%硫酸镁导泻,速尿利尿及静脉输液等处理。入院后4小时开始出现烦躁呕吐,继而嗜睡;次晨6时40分出现频繁呕吐,全身强直性抽搐及昏迷,经用20%甘露醇,速尿,地塞米松等治疗后抽搐停止,神志好转而里昏睡状态;继续用甘露醇,地塞米松及能量合剂等治疗,意识状态进一步改善,入院第三天下午3时,心率突然增快至180~200次/分,心电图提示“室上性心动过速”,用西地兰静脉推注约1小时
Female, 2 years old. At 10:00 on October 13, 1990 emergency admission. Children with hand half an hour before admission misty astemizole 9 (10mg / tablet). Service was found to be sent to our hospital parents. Asymptomatic admission, physical examination, blood, urine, fecal routine, EKG and chest X-ray were found no abnormalities. Gastric lavage with gastric lavage, 50% magnesium sulfate catharsis, furosemide diuretic and intravenous infusion and other treatment. 4 hours after admission, irritability and vomiting began to occur, and then drowsiness; the next morning 6:40 frequent vomiting, tonic convulsions and coma, with 20% mannitol, furosemide, dexamethasone and other treatment stopped after convulsions, consciousness improvement While in the drowsy state; continue to use mannitol, dexamethasone and energy mixture therapy, further improve the state of consciousness, admission at 3 pm the third day, the heart rate suddenly increased to 180 ~ 200 beats / min, ECG prompts “supraventricular Tachycardia, ”push the cedilanid vein for about 1 hour