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患儿男,6岁.1995年6月18日以支气管肺炎入院,住院号9504713.主诉发烧咳嗽一周.查体:T38.5℃,P110次/min,R28次/min,BP12/9.2kPa.意识清楚,急性病容,频繁刺激性咳嗽,少量黄绿色脓痰.咽红,扁桃体Ⅰ°肿大.呼吸音粗糙,双下肺及胸部脊柱两侧可闻及轻度湿啰音,深吸气末明显.四肢关节活动自如,肌张力无异常,无病理性神经反射.血常规:WBC9.8×10~(12)/L,N60%.X线显示双肺纹理增粗,双下肺点状及小片状阴影.诊断为支气管肺炎.用10%葡萄糖250mL+青霉素480万U静脉滴注3天,病情无明显好转,改用10%葡萄糟250mL+丁胺卡那霉素0.15g静脉滴注,给药30分钟时患儿出现头痛、头昏、口唇周围、面部及全身麻木、四肢发软、乏力.接着肌张力明显减低,呼吸变快变浅,呼吸力减弱.立即停用剩余药物,静脉推注10%葡萄糖20mL+10%葡萄糖酸钙10mL并加强给氧后,症状逐渐缓解,呼吸增强,肌张力恢复,四肢关节活动恢复.麻木、头昏、头痛消失.
Children with male, 6 years old June 18, 1995 with bronchial pneumonia admission, hospital number 9504713. Chief complaint cough for a week with fever. Examination: T38.5 ℃, P110 times / min, R28 times / min, BP12 / 9.2kPa. Consciousness, acute illness, frequent irritating cough, a small amount of yellow-green purulent sputum. Throat red, tonsil I ° enlargement. Rough breath sounds, both lower lung and chest spine can be heard on both sides and mild wet rales, deep breathing No obvious pathological nerve reflex blood routine: WBC9.8 × 10 ~ (12) /L, N60% .X line shows double lungs texture thickening, double lower lung point Shaped and small pieces of shadow.Definition of bronchial pneumonia.Used 10% glucose 250mL + penicillin 4.8 million U intravenous infusion for 3 days, the disease was not significantly improved, switch to 10% grape bad 250mL + amikacin 0.15g intravenous infusion , Medication for 30 minutes when children with headache, dizziness, around the lips, face and body numbness, limbs, soft, weakness. Then significantly lower muscle tone, breathing faster and lighter, respiratory weakness. Immediately disable the remaining drugs, Intravenous injection of 10% glucose 20mL + 10% calcium gluconate 10mL and strengthen the oxygen, the symptoms gradually eased, increased respiration, muscle tone recovery, limb joint activity recovery Numbness, dizziness, headache disappear.