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患儿,男,6月,因阵发性咳嗽4天,外院拟诊为“支气管炎”予以林可霉素1.8g+10%葡萄糖250ml静脉点滴,速度为15gtt/min,约半小时后患儿出现面色苍白,唇钳,呼吸困难,四肢冰冷,即转入我院。查体:体温37.4℃,呼吸:45次/min,体重7.5kg,脉搏不及,垂危病容,嗜睡状,面色苍白,嘴唇紫绀,四肢厥冷,双肺闻及干性罗音,心音不能闻及,腹平软,肝右肋下1.0cm,未引出病理性神经反射。心电图示“心室扑动”。立即行利多卡因12mg iv连用3次,约45分钟后转为室性心动过速,行利多卡因维持治疗7小时后又转为室扑,再行利多卡因10mg iv后转为窦性心律,继行利多卡因维持治疗1天后无复发而停药。其间辅以升压,利尿,脱水及
Children, male, 6 months, due to paroxysmal cough for 4 days, outside the hospital to be diagnosed as “bronchitis” to lincomycin 1.8g + 10% glucose 250ml intravenous drip, the speed of 15gtt / min, about half an hour After the child appeared pale, lip forceps, breathing difficulties, cold limbs, that is transferred to our hospital. Physical examination: body temperature 37.4 ℃, breathing: 45 beats / min, weight 7.5kg, less than pulse, dying, drowsiness, pale, lips cyanotic, extremities Jueleng, lungs and dry rales, heart sounds can not smell , Abdomen soft, liver right rib 1.0cm, did not lead to pathological reflex. ECG shows “ventricular flutter ”. Immediately lidocaine 12mg iv used in 3 times, about 45 minutes later converted to ventricular tachycardia, line maintenance lidocaine 7 hours and then to room flutter, and then lidocaine 10mg iv to sinus Rhythm, follow-up lidocaine without recurrence after 1 day of maintenance treatment and withdrawal. During the boost with pressure, diuretic, dehydration and