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地西泮(安定)是治疗新生儿破伤风止痉的首选药物,近几年来我院用地西泮治疗新生儿破伤风76例.其中因骤停地西泮,造成病情反跳5例。 1 病例介绍 5例中男4例.女1例.年龄5 d～10 d.有旧法接生.口紧。抽搐等破伤风典型的临床表现.治疗:地西泮每次2.5mg～7.5mg·4h～6h一次,均为鼻饲.病情好转后改口服,7 d内抽搐均明显控制.5例分别于用药后10,15,13,19,20d骤然停地西泮,其中3例1d内出现抽搐.1例因抽搐时窒息,抢救无效死亡,2例出现哭闹不安,不入睡.排除其它原因后加服地西泮症状明显好转。然后在5 d～7 d内
Diazepam (diazepam) is the treatment of neonatal tetanus antispasmodic drug of choice, in recent years, our hospital with diazepam treatment of neonatal tetanus in 76 cases, due to the arrest of diazepam, resulting in 5 cases of illness rebound. 1 case description 5 cases of male 4 cases. Female 1 cases. Age 5 d ~ 10 d. The old method of delivery. Convulsions and other typical clinical manifestations of tetanus Treatment: diazepam 2.5mg ~ 7.5mg · 4h ~ 6h each time, are nasal feeding.Will improve after oral change, convulsions within 7 d were significantly controlled.5 cases were treated After 10,15,13,19,20 d suddenly stopped diazepam, of which 3 cases within 1d convulsions .1 cases of convulsions asphyxia, rescue died, 2 cases of crying uneasiness, do not fall asleep. Exclusion of other causes after the addition Obvious symptoms of diazepam improved. Then within 5 d ~ 7 d