论文部分内容阅读
例1:男7岁,头痛,吐6h,抽搐一次,以“高血压脑病”于1992—07—20入院.查体:体温36.2℃,脉搏92次/分,呼吸24次/分,血压24/19kPa.神志清,发育营养良好,呼吸平稳,查体合作,皮肤粘膜未见异常,浅表淋巴结不大,心肺腹均未见阳性体征,神经系统检查阴性,四肢血压均明显增高.CT 显示左肾上腺明显增大,考虑肾上腺占位病变.给复方降压片、心痛定口服,利血平肌注二次/日,1mg/次,血压逐渐下降.入院第三天,肌注利血平后2h 突然出现肌肉震颤,继之全身寒战,表现酷似输液反应,因患儿正在输液中,放停止输液,给15mg 非那根肌注,约15分钟好转,半小时后体温达38℃.第二天又出现
Example 1: Male 7 years old, headache, vomiting 6h, convulsions once, with “hypertensive encephalopathy” admitted in 1992-07-20 Physical examination: body temperature 36.2 ℃, pulse 92 beats / min, breathing 24 beats / min, blood pressure 24 / 19kPa. God clear, good nutrition development, stable breathing, physical examination, no abnormal mucocutaneous mucosa, superficial lymph nodes, no positive signs of cardiopulmonary abdomen, negative neurological examination, blood pressure were significantly higher limbs .CT showed Left adrenal significantly increased, consider adrenal lesions. To compound antihypertensive tablets, heartache given oral, reserpine intramuscular injection twice / day, 1mg / times, blood pressure decreased gradually.On the third day of admission, intramuscular injection of reserpine 2h after the sudden onset of muscle tremor, followed by systemic chills, the performance resembles the infusion reaction, because the child is infusion, stop the infusion, to 15mg non-injection of intranasal injection, about 15 minutes to improve, half an hour after the temperature reached 38 ℃. Two days later appeared