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目的总结婴儿肠源性紫绀病因、特点及治疗。方法29例婴儿服叶菜类蔬菜煎汁30~150 ml/人,最快40 min,最慢4 h起病,全部病例均有皮肤黏膜、指(趾)甲紫绀,抽静脉血振荡后呈紫黑色(巧克力棕色),确诊后洗胃,美蓝[1 mg/(kg·次)]快速静滴,辅以维生素C[100 mg/(kg·次)]静滴。结果2 h内皮肤黏膜逐渐转红润,6 h内全部症状消失,1~2 d后实验室检查异常者均恢复正常。结论小婴儿食叶菜类蔬菜煎汁可致肠源性紫绀,经洗胃,小剂量美蓝,大剂量维生素C治疗很快痊愈。
Objective To summarize the etiology, characteristics and treatment of infant intestinal cyanosis. Methods Twenty-nine infants were challenged with 30 to 150 ml of decoction of leafy vegetables and the fastest onset was 40 minutes and the slowest onset was 4 hours. All cases had skin and mucous membranes, finger-to-nail cyanosis, Purple brown (chocolate brown), gastric lavage after diagnosis, methylene blue [1 mg / (kg · times)] rapid intravenous infusion of vitamin C [100 mg / (kg · times)] intravenous infusion. Results Skin mucosa gradually turned rosulation within 2 hours, and all symptoms disappeared within 6 hours. Abnormal laboratory tests returned to normal after 1-2 days. Conclusion Small baby leafy vegetables can cause gut-derived cyanosis, gastric lavage, low-dose methylene blue, high-dose vitamin C treatment quickly recovered.