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患女,7个月。因咳嗽、发热3d,在外院诊为“急性支气管炎”,用5％葡萄糖200ml加白霉素0.15g,病毒唑80mg联合输液。输液第1d,液体静点150ml后,患儿出现恶心、呕吐、哭闹不安,未引起家长重视,坚持将液体输完。第2d,患儿发热好转,继续按原方案治疗,液体静点150ml后,又出现上述症状,且逐渐加重,故停止液体输入,继之患儿出现两眼上翻、口吐白沫、四肢抽搐,急来我院、查体:T35℃,P160次/min,R38次/min,神志不清、两眼上翻、口吐白沫、面色发青、四肢抽搐,前囟门约1.0cm×1.0cm,平坦,双侧瞳孔等大正圆,对光反射灵敏。颈软,胸称,双肺偶闻干性罗音,心率160次/min,律齐,心音尚有力,腹稍胀,肝脾不大,余无阳性体征。查血Ca~(2+)3.3mmol/L,患儿既往无癫痫
Affected women, 7 months. Because of cough, fever 3d, in the outpatient clinic as “acute bronchitis,” with 5% glucose 200ml plus white mold 0.15g, ribavirin 80mg infusion. Infusion 1d, liquid static point 150ml, nausea and vomiting in children, crying uneasy, did not cause parents attention, insisted the liquid is lost. 2d, children with fever improved, continue to treat according to the original program, liquid static point 150ml, the above symptoms, and gradually increased, so stop the liquid input, followed by children with two eyes up, foaming at the mouth, limbs Convulsions, anxious to our hospital, examination: T35 ℃, P160 times / min, R38 times / min, confusion, his eyes turned up, foaming at the mouth, looking pale, limbs convulsions, anterior fontanel about 1.0cm × 1.0cm, flat, bilateral pupil Dazhengyuan, sensitive to light reflection. Neck soft, chest said, double lung even smell dry rales, heart rate 160 beats / min, law Qi, heart sound is powerful, slightly swollen belly, liver and spleen is not large, I no positive signs. Check blood Ca ~ (2+) 3.3mmol / L, children with no previous epilepsy