硫酸亚铁片中毒三例

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例1 男孩,3(1/2)岁,于入院4小时前误服其母补血药20余片,(硫酸亚铁片每片0.3克),1小时后腹痛,连续呕吐2次,吐物为淡红色液体内含药片碎块,经门诊用碳酸氢钠溶液洗胃及肌肉注射二巯基丙醇后住院。入院时体温35.5℃,嗜睡,面色灰黄,下肢微凉,呼吸28次,心率100次,血压正常,肝未触及,其他未见异常。白细胞24,550,中性81%。呕吐物潜血(+),二氧化碳结合力16.8毫当量/升。除禁食、输血、补液及口服各种维生素外,每4小时肌肉注射二巯基丙醇50毫克,当晚体温39.4℃,次日体温正常,面色仍灰黄,并时有烦躁不安,将二巯基丙醇改为每6小时一次。第三日 Example 1 A boy, 3 (1/2) years old, was infused with more than 20 tablets of his mother’s blood 4 hours before admission (0.3 grams per tablet of ferrous sulphate), 1 hour after abdominal pain and vomiting 2 times. Light red liquid containing tablets fragments, the clinic with sodium bicarbonate gastric lavage and intramuscular injection of mercapto-propanol after hospitalization. Admission temperature 35.5 ℃, lethargy, pale yellow, lower extremity slightly cool, breathing 28 times, heart rate 100 times, normal blood pressure, the liver has not touched the other without exception. WBC 24,550, neutral 81%. Vomit occult blood (+), carbon dioxide cohesion 16.8 meq / liter. In addition to fasting, blood transfusion, rehydration and oral administration of various vitamins, intramuscular injection of dimercaptopropanol 50 mg every 4 hours, the night temperature of 39.4 ℃, the next day the body temperature is normal, the face is still gray and yellow, and sometimes irritability, the dimercapto Propanol changed every 6 hours. The third day
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