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本文报告1例哮喘婴儿,在应用β-兴奋剂、甲基黄嘌呤和皮质类固醇治疗中,出现奇特的低血钾导致威胁生命的并发症。 11月龄女孩,因哮喘第3次入院。妊29～30周间出生,出生后并发RDS,因早产儿窒息持续使用茶硷。5月龄首发严重哮喘,用茶硷缓释剂50mg,每日2次,舒喘灵1 mg,3～4次/日,在9～11月龄期间无喘息。入院5小时后转入急救室,体重7.6kg,直肠温38℃,心率148次/分,呼吸56次/分,两肺呼吸音减弱、可闻喘鸣,短时发绀并呼吸暂停。X线胸片示右上肺叶密度增高,高度肺气肿,左上叶有越过纵隔障的轻微疝形成。给以吸氧,皮下注1∶1000肾上腺素0.07ml、静注氨茶硷35mg,氢化考的松30mg,
This article reports a case of asthma in infants, in the application of β-agonists, methylxanthine and corticosteroid treatment, the emergence of strange hypokalemia lead to life-threatening complications. 11-month-old girl, admitted to hospital for the third time due to asthma. Pregnancy 29 to 30 weeks born, concurrent with RDS after birth, asphyxia continue to use theophylline for premature children. 5-month-old serious first-episode asthma, with theophylline sustained-release agent 50mg, 2 times a day, salbutamol 1 mg, 3 to 4 times / day, 9 to 11 months without wheezing. 5 hours after admission to the emergency room, weight 7.6kg, rectal temperature 38 ℃, heart rate 148 beats / min, breathing 56 beats / min, lung breath sounds weakened, can smell the wheeze, short-term cyanosis and apnea. X-ray showed right upper lobe density increased, a high degree of emphysema, left upper lobe over the mediastinal slight hernia formed. Give oxygen, subcutaneous injection of 1: 1000 epinephrine 0.07ml, intravenous aminophylline 35mg, hydrocortisone 30mg,