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患儿,男,40天。入院前16小时,其母用家中的乙敌混合杀虫剂粉(成份为1%1605,3%敌百虫)撒在患儿身穿的内衣、内裤上,以灭体虱。1小时后,家长发现患儿面色苍白,呼吸急促,哭不出声,双鼻孔冒出白色泡沫,四肢软瘫,立即送其去当地卫生院急救。检查:双瞳孔缩小如针尖,两肺布满湿罗音。给予清洁皮肤、阿托品肌注等处理后转我院。入院查:体温37.4℃,心率168次/分,呼吸48次/分,神萎,呼吸促,双瞳孔0.3cm,
Children, male, 40 days. 16 hours before admission, the mother of B enemies mixed pesticide powder (ingredients 1% 1605, 3% trichlorfon) sprinkled in children wearing underwear, underwear, in order to eliminate body lice. One hour later, parents found that children pale, shortness of breath, crying out loud, double nose emerge white foam, limbs paralyzed, immediately sent to the local hospital for emergency treatment. Check: Double pupil narrowing, such as needle tip, lungs covered with wet rales. Give clean skin, atropine intramuscular injection and other treatment transferred to our hospital. Admission check: body temperature 37.4 ℃, heart rate 168 beats / min, breathing 48 beats / min, Shen Wei, shortness of breath, double pupil 0.3cm,