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患者,男性,14岁。因头痛,呕吐8小时.昏迷1小时,于1991年4月4日23:00入院。入院时T36.4℃,P76次/min,R21次/min.BP15/11kPa,双侧瞳孔正常,颈软,心肺无异常,腹平软,肝脾未触及,四肢肌张力增强,巴彬斯基征阳性。血常规Hh120g/L,WBC16.2×109/L,N0.92.L0.08。初步诊断:细菌性脑膜炎?给予输液,内加青霉素400万U,一日3次,20％甘露醇200mlg每8hl次加压静滴.病情不见好转。4月5日8:00发现患者呕吐物中有棕色颗粒状物,疑为硫酸亚铁片剂的崩解物,并经化验及查询证实患者于昨天中午口服硫酸亚铁80片(0.3/片),立即给予1％碳酸氢钠彻底洗胃及清洁灌肠.停用甘露醇,给予5％碳酸氢钠250ml静滴.加用乙酰谷酰胺、细胞色素C、肌苷、Vc等药物,病情逐渐好转,于4月5日22:00病人清醒,继续给予保肝治疗5天痊愈出院.
Patient, male, 14 years old. Due to a headache, vomiting for 8 hours. Coma for 1 hour, at April 4, 1991 at 23:00 admission. Admission T36.4 ℃, P76 times / min, R21 times / min.BP15 / 11kPa, bilateral pupil normal, neck soft, no abnormal heart and lungs, abdominal soft, liver and spleen not touched, limb muscle tone increased, Babin Si Base sign positive. Blood Hh120g / L, WBC16.2 × 109 / L, N0.92.L0.08. Initial diagnosis: bacterial meningitis? Give infusion, penicillin 4 million U, 3 times a day, 20% mannitol 200mlg every 8hl times the pressure intravenous infusion. The condition did not improve. At 8:00 on April 5 found in patients with brown particles of vomit was suspected of disintegration of ferrous sulfate tablets, and confirmed by laboratory tests and inquiries yesterday at noon oral administration of 80 ferrous sulfate (0.3 / film ), Immediately given 1% sodium bicarbonate thoroughly gastric lavage and cleansing enema.Male mannitol disabled, given 5% sodium bicarbonate 250ml intravenous drip.Adding acetylglutamine, cytochrome C, inosine, Vc and other drugs, the disease gradually Improved at 22:00 on April 5 patients awake, continue to give liver protection 5 days cured.