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90年4、5月份我院小儿科接连发生输液反应60多次,反应情况基本一致,小儿在输液中或输液刚结束,出现畏寒、寒颤、四肢冷,在约15—30分钟内体温升高,达39.5—41℃。少数患儿出现谵妄,个别出现惊厥,抽搐。抢救一般在寒颤开始5分钟进行,静注地塞米松针3—5mg,安乃近针10mg/kg,寒颤持续15分钟以上者,加用异丙嗪针肌注1mg/kg,寒颤停止时测体温,体温高于40℃者,用50％乙醇擦浴,体温于1—1.5小时后开始下降,患儿四肢温暖,神志清醒。典型病例:住院号27447,陈佳颖,女,6岁,因患上呼吸道感染住院,体温38.6℃,
90 years 4,5 months in our hospital infantile pediatrics consecutive infusion reaction more than 60 times, the reaction is basically the same, infants in the infusion or infusion just ended, there chills, chills, extremities cold body temperature in about 15-30 minutes , Up to 39.5-41 ° C. A small number of children with delirium, individual convulsions, convulsions. Rescue generally 5 minutes in the beginning of chills, intravenous dexamethasone needle 3-5mg, Annaproyne needle 10mg / kg, shivering for more than 15 minutes, plus promethazine intramuscular injection 1mg / kg, shivering when stopped measuring Body temperature, body temperature above 40 ℃, sponge wipe with 50% ethanol, body temperature began to drop after 1-1.5 hours, children with limbs warm, conscious. Typical cases: hospital number 27447, Chen Jiaying, female, 6 years old, hospitalized with respiratory tract infection, body temperature 38.6 ℃,