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例1,女,第1胎,足月顺产,新法接生,出生体重3kg,发育正常,洗澡后衣着包被过厚,又置放在电热褥上保暖,半小时后患儿高热灼手,大汗淋漓,呼吸困难,唇干青紫,间断抽搐,于1985年1月19日急诊入院。查体:T39.8℃,P174次/分,R48次/分,浅昏迷,压眶反应甚微,皮肤灼热,潮湿,弹性差,前囱与眼眶明显凹陷,呼吸急促浅快,节律不均,可见“三凹征”,唇干发绀,抽搐,双肺闻及少许湿鸣,心音低钝,心率174次/分,闻及奔马律。腹软,微胀气,肝肋下2.5cm,血象:WBC 9.4×10~9/L,N0.62,L0.36,E0.1,M0.1。拟诊多系统器官功能衰竭,经抢救痊愈。例2,男,14天,第1胎足月顺产,新法接生,出生体重3.2kg,发育正常,因气温骤降,入睡后家人担心其受凉而紧闭门窗,被盖严厚,还将电热褥开关调在高温位进行保暖,约40分钟后患儿出现高热大汗,呼吸困难,阵性烦躁,唇干青紫入
Case 1, female, first child, full-term spontaneous abortion, new law birth, birth weight 3kg, normal development, after the bathing coat is too thick, but also placed on the electric mattress warm, half an hour after high fever in children, large Sweating, breathing difficulties, dry lips and purple, intermittent convulsions, January 19, 1985 emergency admission. Examination: T39.8 ℃, P174 beats / min, R48 beats / min, shallow coma, little orbital reaction, skin burning, wet, poor elasticity, obvious anterior recess and orbital, shallow breathing shortness of breath, uneven rhythm , Visible “three concave sign”, dry lips, cyanosis, convulsions, lungs smell a little wet Ming, low heart sound blunt, heart rate 174 beats / min, smell galloping. Abdominal soft, slightly flatulence, liver ribs 2.5cm, blood: WBC 9.4 × 10 ~ 9 / L, N0.62, L0.36, E0.1, M0.1. To be diagnosed multi-system organ failure, after the rescue healed. Example 2, male, 14 days, the first full-term birth of the first child, the new law birth, birth weight 3.2kg, normal development, falling asleep temperatures, falling asleep after the family members worried about the cold and closed doors and windows, covered with thick, but also electric Mattress switch to keep warm in the high temperature, about 40 minutes after the children showed high fever sweat, difficulty breathing, irritability, dry lips