在小儿重症肌无力治疗中,由于抗胆碱脂酶类药物用量过多所致的胆碱能(或新斯的明)危象病例少有报导,1980年末我科遇到一例,报告如下: 病历摘要 赵× 男 8岁 系小学一年级学生,居住于长春市郊区。住院号:185986 因双侧眼睑下垂,下肢无力走路易摔倒两个月,于1680年11月5日第一次住院。病儿于两个月前不慎掉入水中之后,面色不好,乏力,逐渐上眼睑抬不起,咳嗽无力,走路易摔倒,且下午比上午为重,有时呼吸困难不能平卧。患儿自幼智力及行动均较同龄儿为差入学后学习成绩在20～30分。体格检查:意识清 In the treatment of pediatric myasthenia gravis, due to excessive use of anti-cholinesterase drugs caused by cholinergic (or neostigmine) crisis rarely reported in our department in late 1980 encountered a case, the report is as follows: Medical record summary Zhao × Male 8 years old is a first-grade primary school students, living in the suburbs of Changchun City. Hospital number: 185986 Due to ptosis of both sides, leg weakness easily fall two months, on November 5, 1680 the first hospitalization. Sick child fell into water two months ago, the face is not good, weakness, and gradually raise the upper eyelid, cough, weakness, easy to fall and walk in the afternoon heavier than the morning, and sometimes breathing difficulties can not lie down. Children’s mental and behavioral activities since childhood were worse than the same age children after entering the academic performance of 20 to 30 points. Physical examination: clear consciousness