论文部分内容阅读
Shanahan于1908年首先报告了全身性强直性一阵挛性发作后的急性肺水肿(PIPE)。本文报告了2例小儿病例。病例例1,9岁,限局性发作应用卡马西平(CBZ)和苯妥英钠(PHT)治疗,而扩延为继发性全身性强直性-阵挛性发作,在无呕吐物吸入时而产生呼吸困难和咳出粉红色泡沫痰,呼吸38次/分,脉搏136次/分,血压128/64mmHg。二肺底呼吸音降低,吸气末有罗音,心脏来见异常,周围血白细胞19,000/μl,血清PHT 0mg/l,CBZ5.8mg/l,血pH7.38,
Shanahan first reported acute pulmonary edema (PIPE) after a generalized tonic-clonic episode in 1908. This article reports two cases of pediatric patients. Case 1, 9 years old, with predominantly intractable seizures treated with carbamazepine (CBZ) and phenytoin sodium (PHT), and extended to secondary generalized tonic-clonic seizures that produce breathing when vomit is inhaled Difficulty and cough pink sputum sputum, breathing 38 beats / min, pulse 136 beats / min, blood pressure 128 / 64mmHg. Lower respiratory sounds at the end of the lungs, inspiratory end rales, the heart to see abnormalities, peripheral blood leukocytes 19,000 / μl, serum PHT 0mg / l, CBZ5.8mg / l, blood pH7.38,