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一、病历摘要:患儿女,2岁。因抽搐1小时于1979年7月27日晚8时急诊入院。2小时前误服乙胺嘧啶30片(6.25毫克/片),共187.5毫克。服后手按腹部,哭闹不安,继而频吐,吐出物为粉红色的胃内容物,内杂粉红色药片一片。约1小时后开始频繁抽风,抽时双眼上吊,口吐白沫,呈阵挛性惊厥。查体:体温38.5℃,神志不清,呈癫痫持读状态,面色苍白,口唇重度紫绀,瞳孔散大,光反射消失,呼吸急促,胸部听诊两肺呼吸音粗糙,少量痰鸣,心率190,节律规整,心音低钝,未
First, medical records summary: Children, 2 years old. One hour due to convulsions in July 27, 1979 at 8 o’clock emergency admission. 2 hours before taking pyrimethamine 30 tablets (6.25 mg / tablet), a total of 187.5 mg. After serving according to the abdomen, crying uneasiness, and then frequent vomiting, vomit for the pink stomach contents, a miscellaneous pink pill. About 1 hour after the start of frequent ventilation, pumping eyes hanging, spit foam at the mouth, was clonic convulsions. Examination: body temperature 38.5 ℃, unconscious, was epilepsy holding status, pale, severe cyanotic lips, mydriasis, light reflex disappeared, shortness of breath, chest auscultation two lungs rough breathing sounds, a small amount of phlegm, heart rate 190, Regular rhythm, low heart sound blunt, not