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患者崔××,男性2周岁,于1982年11月25日下午3时左右误食咳必清100mg,6小时后突然恶心呕吐,哭闹不停,烦躁不安,咬手抓空,急诊入院。入院时体温37.7℃,脉搏150次/分,呼吸急促,颜面潮红,口渴唇干,呼吸急促,神清,烦躁,不言自语,淋巴结未触及,无出血点,双侧瞳孔略大,等园,对光反射良好,口腔粘膜干燥,两肺呼吸正常,心律快。处理:肌注新斯的明0.2mg,静注异丙嗪、氯丙嗪各12.5mg与10％葡萄糖10ml混合。予以镇静,结合给予拟胆碱药对抗阿托品类周围作用。同时静滴10％葡萄糖500ml V.CO.5g以排泄毒物。入院翌日患儿症状消失,语言清楚,一切正常出院。咳必清抑制咳嗽中枢,镇咳作用与可待因相近,毒性小,作用较快,口服30分钟显效,可持续4～6
Patient Cui × ×, male 2 years old, on November 25, 1982 at about 3 pm to eat cough clear 100mg, 6 hours after a sudden nausea and vomiting, crying, restlessness, biting empty, emergency admission. Admission, body temperature 37.7 ℃, pulse 150 beats / min, shortness of breath, facial flushing, thirsty lips dry, shortness of breath, clear, irritable, selfless lymphatic nodes, no bleeding point, bilateral pupil slightly larger, Park, good light reflection, oral mucosa dry, normal lungs, rapid heart rate. Treatment: intramuscular injection of neostigmine 0.2mg, intravenous promethazine, chlorpromazine each 12.5mg and 10% glucose 10ml mixed. To be sedated, combined with given cholinergic drugs against atropine around the role. At the same time intravenous infusion of 10% glucose 500ml V.CO.5g to excrete the poison. Children with symptoms disappeared the day after admission, the language is clear, all normal discharge. Cough clear inhibition of the central cough, cough and codeine similar to the role of toxicity, faster, effective for 30 minutes orally, sustainable 4 to 6