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例1,患儿女,维吾尔族,2岁。精神萎糜,嗜睡1/2天,急诊就诊。发病前无发热,有轻咳,二便正常。查体温37.4℃,脉搏120次/分,呼吸30次/分,无皮疹出血点,呼叫能应声,口唇无紫绀,心律齐,双肺闻及痰鸣音,肺脾无肿大,其它未见异常。按“上呼吸道感染”对症治疗,观察患儿仍处于嗜睡状态,喉头痰鸣音加重有流涎。重检查发现患儿双侧瞳孔如针尖大小,即考虑有机磷中毒。静脉推“654—2”5mg,20分钟1次,用至第6次患儿面颊潮红,双侧瞳孔正常。追问病史,曾玩耍有机磷污染空瓶子,观察2天,痊愈出院。
Example 1 children with children, Uygur, 2 years old. Spirit wilt, drowsiness 1/2 day, emergency treatment. Before the onset of fever, there is light cough, two will be normal. Check body temperature 37.4 ℃, pulse 120 beats / min, breathing 30 beats / min, no rash bleeding, the call can be cautious, lips cyanosis, Qi Qi, lung smear and phlegm, lung and spleen no swelling, no other abnormal. Press “upper respiratory tract infection ” symptomatic treatment, observation of children are still in lethargy state, throat phlegm increased a salivation. Re-examination found that children with bilateral pupil size such as the tip, that is, consider organophosphate poisoning. Intravenous push “654-2 ” 5mg, 20 minutes 1, until the 6th child with cheek flushing, bilateral pupil normal. Asked history, had played an empty bottle of organic phosphorus pollution, observed 2 days, discharged.