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李某,男,3个月,因被褥捂闷突然高热大汗、全身青紫、频繁抽搐,3h后入院。体格检查:T 41.5,P180,R96,昏迷,唇紫绀,前囟略凹,两瞳孔缩小等大,对光反射迟钝,心音低钝,律齐,未闻及病理性杂音,两肺可闻及广泛痰鸣音。腹胀,肝脾未及,四肢强直。神经系统:生理反射消失,克布氏征阴性。实验室检查:Hb11 g/L,RBC 3.8×10~(12)/L,WBC18×10~9/L,N0.8,L0.2。诊断:闷热综合征,急性呼吸衰竭。给予高流量吸氧,呼吸兴奋剂,纠酸、扩容、血管活性药物,止惊,降颅压等综合治疗,呼衰、休克好转。36h后患儿突然
Lee, male, 3 months, due to blankets cover stuffy Suddenly high fever sweat, bruising, frequent convulsions, 3h after admission. Physical examination: T 41.5, P180, R96, coma, lip cyanosis, slightly concave anterior fontanelle, two pupils narrow and so on, slow light reflex, low heart sound blunt, law Qi, no smell and pathological murmurs, both lungs can be heard Extensive phlegm sounds. Abdominal distension, liver and spleen not yet, limbs straight. Nervous system: Physiological reflex disappeared, Kebu’s sign negative. Laboratory tests: Hb11 g / L, RBC 3.8 × 10 ~ (12) / L, WBC18 × 10 ~ 9 / L, N0.8, L0.2. Diagnosis: Sulzer syndrome, acute respiratory failure. Give high-flow oxygen, respiratory stimulants, acid correction, expansion, vasoactive drugs, only shock, reducing intracranial pressure and other comprehensive treatment, respiratory failure, shock improved. 36h after the child suddenly