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患者,男,6月,因高热,惊跳十余小时急诊入院,体温40.℃,脉搏未能触及,呼吸46次,血压测不到,全身皮肤瘀点瘀斑,口唇青紫。化验检查:皮肤瘀点涂片找到脑膜炎双球菌,血小板3万。入院后立即吸氧,强心、升压药及抗生素、肝素等综合治疗。次日患儿呕吐咖啡色胃液5次,每次约30ml左右,并出现腹胀气,肠鸣音减弱。肌注新斯的明每天1次每次0.05mg至住院第六天腹胀仍未见好转,又用新斯的明0.5mg加入10％葡萄糖水100ml内静滴,在
Patients, male, June, due to high fever, shock more than ten hours emergency admission, body temperature 40. ℃, pulse failed to reach, breathing 46 times, blood pressure could not be measured, systemic skin petechia ecchymosis, lips bruising. Laboratory tests: skin petechia smear found meningitis, platelets 30,000. Immediately after admission oxygen, cardiac, antihypertensive drugs and antibiotics, heparin and other comprehensive treatment. The next day, children vomit brown gastric juice five times, about 30ml each time, and bloating gas, bowel sounds weakened. Intramuscular injection of neostigmine 0.05mg daily to the sixth day of hospitalized abdominal distention has not improved, but also with neostigmine 0.5mg 10% glucose solution in 100ml intravenous infusion of