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患儿,女,5个月,因发烧2天就诊.查体:T38.8℃,神志清,心率130次/分,双肺呼吸音粗.验血:白细胞14×10~9/L,中性0.82.以上感给予青霉素480万u,加入生理盐水200ml滴注,用药至第四日时,患儿出现四肢抽动,呕吐,小便失禁,约3小时后逐渐缓解.于用药第五日,当药滴到150ml时患儿再次出现以上症状,立即停用3小时后症状缓解.后停用青霉素,改用其他抗生素和口服大力克治
Children, women, 5 months, 2 days due to fever treatment. Physical examination: T38.8 ℃, conscious mind, heart rate 130 beats / min, lung breath sounds coarse. Blood test: white blood cells 14 × 10 ~ 9 / L, Neutral 0.82. The above sense given penicillin 4.8 million u, added 200ml saline infusion, medication to the fourth day, children with limbs twitching, vomiting, urinary incontinence, about 3 hours after gradual relief in the fifth day of treatment, When the drops of medicine to 150ml when the child again the above symptoms, immediately disable the symptoms after 3 hours to relieve the penicillin, switch to other antibiotics and oral Kale