1病例资料患儿1,男,4个月,因“腹泻4 d,呼吸浅慢,口周青紫1 h”入院,患儿4 d前出现腹泻,黄色稀水样便,含奶瓣,每日4~5次,量少,无少尿,无发热。在当地诊所口服枯草杆菌二联活菌(妈咪爱)、婴儿素等治疗,症状无减轻。3 h前在当地诊所给予阿米卡星100 mg加入葡萄糖氯化钠注射液100 mL静脉滴注,约30 min后,患儿口周青紫,呼吸表浅,哭闹,急来我院就诊。入院时查 1 case data in children 1, male, 4 months, due to “diarrhea 4 d, slow breathing, perioral bruising 1 h ” admission, 4 d before the onset of diarrhea in children, , 4 to 5 times a day, less, no oliguria, no fever. In the local clinic oral Bacillus subtilis oral viable (Mommy love), such as baby treatment, no symptoms alleviate. 3 h before the local clinic to give amikacin 100 mg intravenous infusion of glucose and sodium chloride 100 mL, about 30 min, the patient periorbital purple, breathing shallow, crying, urgent medical attention. Checked on admission