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患儿女性,1岁,2d前受凉后出现发热,咳嗽气促,2h前在当地乡村医生予肌注洁霉素0.3g,氨茶碱500mg。用药1/2h后,患儿烦躁不安,呕吐咖啡样液体5次,于1993年3月9日下午急诊入院。查体:体温37.5℃,脉搏112次/分,呼吸30次/分,烦躁不安,头颅五官无畸形,颈软,胸廓对称,两肺可闻及少量散在湿性罗音,心率112次/分,腹平软,肝脾未扪及,肠鸣音正常,脑膜刺激征阴性。诊断为急性氨茶碱中毒,应
Children, 1 year old, 2d before the onset of fever after the cold, cough and shortness of breath, 2h ago in the local village doctor intramuscular injection of lincomycin 0.3g, aminophylline 500mg. 1 / 2h after treatment, children with irritability, vomit coffee-like liquid five times, in the afternoon of March 9, 1993 emergency admission. Examination: body temperature 37.5 ℃, pulse 112 beats / min, breathing 30 beats / min, irritability, cranial features without deformity, neck soft, thoracic symmetry, two lungs can be heard and a small amount of scattered wet rales, heart rate 112 beats / Abdomen soft, liver and spleen not palpable, normal bowel sounds, meningeal irritation sign negative. Diagnosis of acute aminophylline poisoning should be