患儿男 ,5岁 ,因咳嗽、气喘二天在外院静脉点滴氨茶碱 ,误将氨茶碱 2 5ｍｇ配成 2 50ｍｇ ,静脉点滴完后 ,患儿烦哭不宁、手足燥动、恶心、呕吐、憋气、脸色苍白、鼻翼扇动、唇周青紫 ,经输氧及肌注非那根等治疗症状无缓解。转入我院 ,转诊途中抽搐二次。入院查体 :Ｔ36 5℃ , Children, male, 5 years old, because of cough, asthma two days intravenous aminophylline outside the hospital, mistakenly aminophylline 25mg dubbed 2 50mg, after intravenous drip, the patient annoying, hand and foot dryness, nausea, Vomiting, suffocating, pale, nostril flapping, purple lip weeks, the oxygen and intramuscular injection of non-root and other symptoms without remission. Into our hospital, referral twitch twice. Admission examination: T36 5 ℃,