病历摘要患儿,女,4岁,于1989年12月18日误服“一搽灵脚气水”5毫升,半小时后腹痛、面部及全身皮肤粘膜逐渐青紫(病后无呕吐、腹泻。不发热,未抽搐。无食腌菜、变质蔬菜、及药物史。),5小时后转入本院。查体:体温37℃,神清,呼吸平,无鼻扇,口腔粘膜光滑,全身皮肤粘膜重度紫绀,两肺未闻及罗音,心律齐,心率140次/分钟,心音有力。腹膨胀肝脾未触及,肠鸣音减弱。四肢活动正常无水肿,神 Medical record Summary Children, female, 4 years old, on December 18, 1989 mistakenly summon “a brush of spirit water gas” 5 ml, half an hour after the abdominal pain, facial and systemic skin and mucous membranes gradually purple (no vomiting, diarrhea after the disease. Fever, no convulsions, no pickles, metamorphic vegetables, and drug history.), Transferred to our hospital 5 hours later. Physical examination: body temperature 37 ℃, Shen Qing, breathing flat, no nose fan, smooth oral mucosa, systemic skin and mucosal severe cyanosis, lungs and lungs have not heard, rhythm Qi, heart rate 140 beats / min, heart sound. Abdominal swelling of the liver and spleen not touched, bowel sounds weakened. Normal limb edema, God