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病历摘要:患儿、女、2岁4个月、因哭闹,周身皮肤发绀1小时于1981年12月13日急诊入院。患儿于入院当日上午10时许误服复方感冒片14片,至11时开始哭闹、呕吐1次,12时哭闹加剧,周身皮肤出现紫绀并逐渐加重。查体T36℃、P160次、R28次、BP100/70,痛苦表情、神志清楚,烦躁不安、周身皮肤及口腔粘膜均呈青紫色,尤以眼睑、鼻尖、口唇为著。两瞳孔等大等圆,心肺腹部无异常,Hb12.8克％,RBC460万/mm~3。尿常规阴性。粪镜检少量脂肪球。抽静脉血震荡15分钟后未变鲜红色,诊断高铁血红蛋白血症(非那西汀中毒)。
Medical records summary: Children, female, 2 years old 4 months, due to crying, whole body skin cyanosis 1 hour in December 13, 1981 emergency admission. On the day of admission, the children mistakenly served 14 tablets of compound cold tablets and started crying and vomiting once at 11 o’clock. As the crying intensified at 12 o’clock, cyanosis of the whole body appeared and gradually aggravated. Physical examination T36 ℃, P160 times, R28 times, BP100 / 70, painful facial expression, conscious, irritability, skin and oral mucosa were blue, especially in the eyelids, nose, lips. Two pupils and other large round, no abnormal heart and lung abdomen, Hb12.8 g%, RBC460 million / mm ~ 3. Negative urine. Fecal smear a small amount of fat ball. Pulmonary turmoil after 15 minutes did not change the bright red, diagnosis of methemoglobinemia (phenacetin poisoning).