男孩,2岁。右手外伤3天,注杜冷丁100mg 后昏迷抽搐1天入院。患儿于入院前3天右手爆炸伤,当时疼痛难忍,当地医院肌注杜冷丁100mg,随即出现昏迷,转院途中四肢抽搐,持续数分钟,次数频繁,伴有喷射性呕吐,吐物为胃内容物,最后1次吐出咖啡色物而急诊入院。体检:体温37.5℃,脉搏100次/分,呼吸26次/分。发育营养中等,神志不清,浅昏迷状态。瞳孔双侧等大,直径4mm,对光反射迟钝,口唇轻度发绀。颈 Boy, 2 years old. Right hand trauma for 3 days, injection pethidine 100mg coma convulsions 1 day admission. 3 days before admission, children with right hand blast injury, pain was unbearable, the local hospital intramuscular injection of pethidine 100mg, then a coma, transfer limbs twitch on the way, for several minutes, the frequency is frequent, with jet vomiting, spit things for the stomach content The last time spit coffee and emergency hospital admission. Physical examination: body temperature 37.5 ℃, pulse 100 beats / min, breathing 26 beats / min. Moderately developed nutrition, confusion, shallow coma state. Pupil and other large bilateral, diameter 4mm, slow light reflex, lips mild cyanosis. neck