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李×,男,42天。因皮肤发绀、昏迷2小时而就诊。患儿因咳嗽3天而于入院当日上午9时,其母喂服复方甘草片2片,因仍咳嗽,至下午3时再次喂服本药2片,40分钟后出现烦躁不安,继而嗜睡,呼吸表浅,全身皮肤发绀。体检:体温36.4℃,脉搏细弱,呼吸14次/分,昏迷状态。呼吸表浅、暂停,全身皮肤苍灰发冷。口唇紫绀,瞳孔似针尖大小,对光反射消失。两肺呼吸音减弱,心率172次/分,心音低钝。吸吮、觅食、拥抱等反射消失。化验:血红蛋白168g/L,白细胞13.0×10~9/L,中性0.68,淋巴0.32。胸透心肺无异常。入院后给予输氧,静注洛贝林、可拉明及东莨菪碱每30分钟1次,同时静滴氟美松,能量合剂
Lee ×, male, 42 days. Because of skin cyanosis, coma 2 hours and treatment. Children with cough for 3 days on the day of admission at 9 am, her mother fed a compound licorice tablets 2, still cough until 3 pm again fed the drug 2, 40 minutes after the restlessness, then drowsiness, Respiratory shallow, systemic skin cyanosis. Physical examination: body temperature 36.4 ℃, weak pulse, breathing 14 times / min, coma. Respiratory shallow, suspended, the whole body gray and gray skin cold. Cyanosis lips, pupil-like tip size, the light reflection disappears. Breathing lung sounds weakened, heart rate 172 beats / min, low heart sound blunt. Sucking, feeding, hugging and other reflections disappear. Laboratory tests: hemoglobin 168g / L, white blood cells 13.0 × 10 ~ 9 / L, neutral 0.68, lymph 0.32. Chest heart and lung no abnormalities. Oxygen delivery after admission, intravenous lobesin, cocaine and scopolamine every 30 minutes 1, at the same time metronidazole, energy mixture