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患儿张×,男,1.5岁,82年3月26日,吃老鳖肉后1小时,突然身出冷汗、口吐白沫,呼吸困难,神志不清,急诊入院.住院号:963.体检:体温不升,昏迷,呼吸不规则.面色苍白,口唇清紫,四肢冰冷.两侧瞳孔针尖样缩小,口腔及鼻腔有粉红泡沫分泌物流出.心率160次,律整,心音低钝,未闻及杂音,两肺满布湿罗音.未引出病理反射.皮肤,四肢及腹部检查(-)白细胞8100、中性60%.大便常规(-).入院诊断:鳖肉过敏伴急性肺水肿.立即给O_2吸入;静注阿托品1~5mg,每10~20分钟一次.同时静注地塞米松5mg;呼吸兴奋剂及硷性药物治疗.3小时后,患儿神志转清醒,面色渐红,皮肤温暖,瞳孔扩大,呼吸平稳,肺部罗音
Children × ×, male, 1.5 years old, March 26, 82, 1 hour after eating the old turtle meat, suddenly out of cold sweat, foaming at the mouth, breathing difficulties, confusion, emergency hospitalization. Physical examination: body temperature does not rise, coma, irregular breathing. Pale, purple lips, cold extremities on both sides of the pupil pinch-like narrow, oral and nasal discharge of pink foam secretions. Heart rate 160 times, law, heart sound low , Did not smell and noise, both lungs full of wet rales. Did not lead to pathological reflex. Skin, limbs and abdomen examination (-) WBC 8100, 60% neutral. Stool routine (-). Admission diagnosis: turtle meat allergy with acute Pulmonary edema immediately inhaled O_2; intravenous atropine 1 ~ 5mg, once every 10 to 20 minutes .At the same time intravenous dexamethasone 5mg; respiratory stimulants and alkaline drug treatment .3 hours later, the children consciousness to awake, looking Fading red, warm skin, pupil dilation, smooth breathing, pulmonary rales