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例1 男,1(9/12)岁,因间歇性,规律性发热5天而入院.查体无阳性体征,实验室检查:大、小便,血常规,血沉抗“O”,C-反应蛋白,类风湿因子,肝肾功能,生化谱,痰找结核菌,血培养结果均未见异常.心电图示窦性心动过速(哭闹有关).胸部拍片,腹腔脏器B,脑脊液检查均未见异常.仔细询问病史,患儿每次发热均于口服硫酸锌口服液后不久出现,体温在37.8℃~38.3℃之间,勿需退热治疗,约1小时后自动恢复正常.据上所述考虑患儿发热系锌剂过量所致的急性中毒反应的一种表现.随嘱停用硫酸锌口服液,以后未再发热,观察2天后出院.例2 男,1(7/12)岁,因间歇性、规律性发热3天而入院.查体及辅助检查同上述患儿.给予停用锌剂治疗后,观察2天,患儿未再发热并出院.
Case 1 Male, 1 (9/12) years of age, admitted to hospital for intermittent, regular fever for 5 days Physical examination No positive signs, laboratory tests: Large, urine, blood, ESR “O” Protein, rheumatoid factor, liver and kidney function, biochemical spectrum, sputum to find TB, blood culture results were no abnormal ECG showed sinus tachycardia (crying related.) Chest film, abdominal organs B, cerebrospinal fluid were No abnormalities. Carefully asked about the history of each fever in children with oral zinc sulfate soon after the oral liquid, body temperature between 37.8 ℃ ~ 38.3 ℃, do not need antipyretic treatment, about 1 hour after the return to normal. Considering the fever caused by zinc in children overdose acute poisoning response of a performance.Will stop using zinc sulfate oral solution, after no further fever, observed 2 days after discharge.Example 2 male, 1 (7/12) Years old, due to intermittent, regular fever for 3 days and admission. Physical examination and auxiliary examination with the above-mentioned children .After stopping the zinc treatment, the observation of 2 days, children with no further fever and discharged.