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病例一、胡×,男,5岁。因头痛及周身皮肤粘膜发绀一小时就诊,病前一小时有“橡胶水”接触史。入院时 T37.4℃、P146次/分、R28次/分,BP 120/80mmHg,神清精神差,无呼吸困难表现。全身及皮肤粘膜、指(趾)甲呈紫兰色,巩膜无黄染、二瞳孔等大等园,对光反应良,颈软,二肺呼吸音粗,心(一)腹软,肝肋下刚触及,剑下1.5 cm,质软无压痛,脾(一),N·S(一),Hgb13.7g%、wbc20,150/mm~3、N78%、L22%。取静脉血1 ml 置试管中观察,6小时后仍为暗紫色。入院诊断:变性血红蛋白血症。入院后即抢救,吸氧,美兰20mg 加于10%G·S 中静滴,15分钟后青紫明显好转,住院二天后,发现肝脏增大,即加服保肝药并查肝功(正常),五天后痊愈
Case 1, Hu ×, male, 5 years old. Due to headache and whole body skin and mucous membrane cyanosis one hour treatment, one hour before the illness “rubber water” exposure history. Admission T37.4 ℃, P146 times / min, R28 times / min, BP 120 / 80mmHg, God spirit of poor, no dyspnea performance. The body and skin mucosa, fingernail (a) purple, scleral no yellow dye, two pupils and other large garden, good response to light, neck soft, coarse breath sounds of the two lungs, heart Next touch, 1.5 cm under the sword, soft without tenderness, spleen (a), N · S (a), Hgb13.7g%, wbc20,150 / mm ~ 3, N78%, L22%. Take venous blood 1 ml tube test, still dark purple after 6 hours. Admission diagnosis: degeneration hemoglobinemia. Rescue after admission, oxygen, Meilan 20mg plus 10% G · S in intravenous infusion, after 15 minutes bruising was significantly improved, two days after hospitalization, the liver was found to increase, that is, add liver protection drugs and check liver function (normal ), Cured after five days