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地塞米松是临床上常用的皮质类固醇,一般情况下很少发生不良反应。我们遇到3例并有脑积水的患儿,静注地塞米松治疗时出现喷射性呕吐,国内外文献很少记载,报告如下。例1:1岁3个月因神萎月余,呕吐抽搐7天入院。查前囱膨隆,颈强,克氏征阳性。WBC14.7×10~9/L,N64%,L36%。脑压3.43kPa,潘氏试验++++,WBC0.045×10~9/L,糖2.28mmol/L,氯化物183.37mmol/L,蛋白质10.4g/L。胸片示右肺门阴影增浓。头颅CT见脑室系统普遍扩张。初诊:结核性脑膜炎、脑积水。抗炎、抗痨等治疗,地塞米松2mg(1mg/ml)静注,1日2
Dexamethasone is clinically used corticosteroid, under normal circumstances rarely adverse reactions. We encountered three cases and children with hydrocephalus, intravenous dexamethasone treatment of jet vomiting, domestic and foreign literature is rarely documented, the report is as follows. Example 1: 1-year-old 3 months due to wilting months, vomiting and convulsions 7 days admission. Check before the chimney bulging, neck strong, Krypton sign positive. WBC14.7 × 10 ~ 9 / L, N64%, L36%. Brain pressure 3.43kPa, Pan’s test ++++, WBC0.045 × 10-9 / L, sugar 2.28mmol / L, chloride 183.37mmol / L, protein 10.4g / L. Chest radiograph showed the right hilar shadow thickening. Head CT see ventricular system is generally expanded. New diagnosis: tuberculous meningitis, hydrocephalus. Anti-inflammatory, anti-tuberculosis and other treatment, dexamethasone 2mg (1mg / ml) intravenous injection on the 1st