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患儿女,3岁,1996年10月27日因腹泻2d伴呕吐2次就诊。查体:精神欠佳,轻度脱水,咽稍红,心肺无异常。拟诊急性肠炎伴轻度脱水,急诊科住院,给予维生素B_6片及乳酸菌素片口服,3∶2∶1液300ml加庆大霉素4万U静脉滴注,2h患儿突然寒战,体温39.5℃,面色苍白,四肢厥冷,皮肤黄染,心率60次/min,排出酱油色尿400ml。检查:血红蛋白35g/L,红细胞1.3×10~(12)/L(130万/mm~3),白细胞17.5×10~9/L(17500/mm~3,中性粒细胞76%,淋巴细胞10％,血小板25.5×10~9/L(25.5万
Children with children, 3 years old, October 27, 1996 due to diarrhea 2d with vomiting 2 visits. Physical examination: poor health, mild dehydration, throat slightly red, no abnormal heart and lungs. Acute enteritis with mild dehydration, emergency department hospitalization, given vitamin B_6 tablets and lactobacillus tablets orally, 300: 3: 2: 1 solution plus gentamicin 40,000 U intravenous infusion, 2h children suddenly chills, body temperature 39.5 ℃, pale, extremities Jueleng, yellow skin, heart rate 60 times / min, the discharge of soy sauce color 400ml. The levels of hemoglobin 35g / L, erythrocytes 1.3 × 10-12 / L (1.3 million / mm 3), leukocytes 17.5 × 10-9 / L (17500 / mm 3, neutrophils 76%, lymphocytes 10%, platelets 25.5 × 10 ~ 9 / L (255,000