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例1,男,1岁,因腹泻粘液便服吡哌酸每日3次,每次125mg。2天后患儿前囱明显隆起,烦躁不安,呕吐4次入院。体检:体温37.5℃,前囱明显隆起紧张,双艟等圆大,颈软,病理反射(一),脑膜刺激征(一),腰穿脑脊液压力1.37kPa,脑脊液常规及生化测定正常。静推甘露醇2次后前囱较前平软,次日又明显隆起,患儿再次出现烦躁呕吐,停服吡哌酸继续静推甘露醇,1天后小儿前囱平软,无呕吐,精神正常,2天后痊愈出院。例2,男,8个月,因腹泻粘液便服吡哌酸每日3次,每次125mg,2天后患儿前囱明显隆起,非喷射状呕吐2次,但精神尚好,予停用吡哌酸,改小诺霉素肌注治疗肠炎(本院家属未住院)。2天后前囱平软,小儿无任何不适。
Example 1, male, 1 year old, due to diarrhea, mucilage and oral piperacillin 3 times a day, each 125mg. 2 days after the child obviously bulging in front of the chimney, irritability, vomiting 4 times admitted to hospital. Physical examination: The body temperature was 37.5 ℃. The anterior eminence was obviously raised and tensioned. The fistula were round, soft neck, pathological reflexes (a), meningeal irritation (a), lumbar cerebrospinal fluid pressure was 1.37 kPa, and cerebrospinal fluid routine and biochemical tests were normal. Static push mannitol 2 times before the front chimney flat, the next day and obviously uplift, children again irritable vomiting, stop feeding pipemidic acid continue to push the mannitol, 1 day after the child before the chimney soft, no vomiting, the spirit Normal, recovered after 2 days. Example 2, male, 8 months, due to diarrhea, mucilage suits with piperacid three times a day, each 125mg, 2 days after the child obvious bulge in front of the chimney, non-jet vomiting 2 times, but the spirit is still good, Acid, intramuscular injection of modified dinamycin treatment of enteritis (the hospital is not hospitalized family members). 2 days after the chimney flat, children without any discomfort.