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1 病例报告 患儿男,5岁,因误服了芬氟拉明40分钟入院。患儿于40分钟前在家误服芬氟拉明10片(每片20mg),出现面色潮红,眼球呈水平震颤,四肢抖动,无抽搐及二便失禁。体检:T37.0℃、R24/min、P146/min、BP13.3/8.0kPa,精神恍惚,时有烦燥,面色潮红,双侧瞳孔直径4mm,对光反射灵敏,颈软,双肺呼吸音清,心音有力、律齐,腹平软,肝脾未及,四肢抖动,肌力、肌张力正常。克氏征(-),布氏征(-),病理反射未引出。入院后立即给予清水5000ml洗胃,口服25％硫镁20ml导泻,5％葡萄糖注射液10ml+速尿20mg静推,5％葡萄糖注
A case report, male, 5 years old, was admitted to Fenfluramine for 40 minutes. At 40 minutes, the children took 10 fenfluramine (20 mg per tablet) at home and became flushed with tremor at the level of their eyes, shaking their limbs, and having no convulsions and incontinence. Physical examination: T37.0 ℃, R24 / min, P146 / min, BP13.3 / 8.0kPa, trance, sometimes irritable, pale flush, bilateral pupil diameter 4mm, sensitive to light reflex, neck soft, breathing in both lungs Sound clear, strong heart sound, law Qi, abdominal soft, liver and spleen yet, limbs shaking, muscle strength, muscle tone normal. Kirschner Sign (-), Brinell’s sign (-), pathological reflex did not lead. Immediately after admission to give water 5000ml gastric lavage, oral 25% magnesium and 20ml catharsis, 5% glucose injection 10ml + furosemide 20mg static push, 5% glucose injection