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患儿男,2岁,因呼吸困难半天于1990年8月1日16:30急诊入院。查体:T39.6 C,P176次/分、R60次/分,Bp16/10kPa。神志不清,双瞳孔约1.5mm,光反应迟钝,双肺痰鸣音,心率2.93Hz,肝右肋下0.5cm,双膝腱反射消失,未引出病理反射,无脑膜刺激征。化验:血胆碱酯酶10U(正常对照75U)。入院前5天皮肤和1605农药接触史。入院后急行气管切开,纠正呼吸衰竭,采用静点葡萄糖、速尿、维生素 C、青霉素及新鲜血
Male, 2 years old, admitted to hospital due to dyspnea at 16:30 on August 1, 1990 for half a day. Physical examination: T39.6 C, P176 beats / min, R60 beats / min, Bp16 / 10kPa. Unconscious, double pupil about 1.5mm, light reaction slow, phlegm lungs, heart rate 2.93Hz, liver right rib 0.5cm, double tendon reflex disappeared, did not lead to pathological reflex, no meningeal irritation. Assay: Blood cholinesterase 10U (normal control 75U). 5 days before admission skin and 1605 pesticide exposure history. Urgent tracheotomy after admission, to correct respiratory failure, the use of static glucose, furosemide, vitamin C, penicillin and fresh blood