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患儿,女,6个月。因双眼凝视、颈后仰半天入院。入院前腹泻四天,每日4~5次,黄绿稀便,不发烧。家长给服乳酶生、痢特灵。痢特灵每次100mg,3次/日,首次服两片,至来院时共服12片。服药第二天患儿反复咀嚼,后精神差,烦躁不安,双眼呆滞,至入院时上述症状加重,颈后仰,不哭不笑,呼之不应。查体。体温36.5℃,脉搏120次/分,神萎,反应差。前囟1.5cm×1.5cm,平坦,双眼凝视,颈软,四肢肌张力低下,腱反射未引出。辅助检查:Hb107g/L,WBC:12×10~9/L,N29%,L71%。诊断痢特灵中毒。入院后静点能量
Children, women, 6 months. Staring because his eyes, neck receded half a day admitted. Four days before admission, diarrhea 4 to 5 times a day, yellow and green loose stools, no fever. Parents to take lactation enzyme, furazolidone. Furazolidone each 100mg, 3 times / day, for the first time serving two tablets, a total of 12 aspirant hospital. The second day after taking medicine chewing repeatedly, after the poor spirit, irritability, dull eyes to hospital admission to the above symptoms aggravated neck back, do not cry do not laugh, call should not. Physical examination. Body temperature 36.5 ℃, pulse 120 beats / min, Shen Wei, poor response. Anterior fontanel 1.5cm × 1.5cm, flat, staring eyes, neck soft, low limb muscle tension, tendon reflex did not lead. Auxiliary examination: Hb107g / L, WBC: 12 × 10 ~ 9 / L, N29%, L71%. Diagnosis of furazolidone poisoning. Static energy after admission