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病例资料患儿男,2个月,因呼吸急促于2005年7月20日18时收入院。询问病史无药物接触史,查体 T 36.5℃,P 150次/min,R 50次/min,体重7 kg,神志清,双肺呼吸音粗,有明显的湿罗音,以支气管肺炎收入院。入院后给予抗生素静脉点滴。15 min 后巡视病房,发现患儿呼吸较前急促,张口呼吸,烦躁,哭闹并有特殊的农药气味。再仔细询问病史,家长曾在家中用“1605”(对硫磷,属剧毒类有机磷农药,少量接触即可中毒)杀蚊子,疑因衣服被污染而引起中毒。查体发现患儿瞳孔缩小
Case data Children, male, 2 months, due to shortness of breath at 18:00 on July 20, 2005 income hospital. No medical history of history of contact asked, physical examination T 36.5 ℃, P 150 times / min, R 50 times / min, weight 7 kg, clear consciousness, lung breath sounds crude, there are obvious wet rales to bronchopneumonia income hospital . Give intravenous antibiotics after admission. After 15 min, he visited the ward and found that the child had more rapid breathing, mouth breathing, irritability, crying and special pesticide odor. Carefully ask history, parents at home with “1605 ” (parathion, is a highly toxic organic phosphorus pesticide, a small amount of exposure to poisoning) to kill mosquitoes, suspected to be contaminated clothes poisoning. Physical examination found that children with pupils shrink