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1病例介绍患儿,男,1岁6月,因“腹泻、呕吐5 d,间断抽搐3 d”入院。入院前因“腹泻”服用苍耳子(家长自采),每日40~50粒,水煎,分2~3次口服,第3天服用2次,第2次食入即吐。次日患儿即出现抽搐。入院查体:T 37.8℃,P 140次/min,R 30次/min,BP100/61 mmHg。深昏迷,双侧瞳孔等大等圆,约0.3cm,对光反射正常,口唇发绀,颈软,双肺呼吸音粗糙,可闻及较多痰鸣音,心音有力,无杂音,腹软,肝肋下3.0 cm,可触及,质软,脾肋下未及。腹壁反射
1 case description Children, male, 1 year old in June, due to “diarrhea, vomiting 5 d, intermittent twitching 3 d ” admission. Before admission due to “diarrhea ” Xanthium fruit (parents from the mining), 40 to 50 capsules daily, decoction, 2 to 3 times orally, the first 3 days to take 2 times, the second instillation of the spit. The next day the child showed convulsions. Admission examination: T 37.8 ℃, P 140 times / min, R 30 times / min, BP100 / 61 mmHg. Deep coma, bilateral pupils and other large round, about 0.3cm, normal light reflexes, lips cyanosis, neck soft, rough breathing sounds of both lungs, can be heard and more phlegm, strong heart sound, no noise, Liver ribs 3.0 cm, palpable, soft, spleen and ribs did not. Abdominal wall reflex