s*****n 发帖数: 318 | 1 老同学的朋友的女儿肉肉,女,2岁近6个月。2014年12月17日早上6点50分至7点间突然
深吸一口气停4、5秒再深吸一口气,如此反复5、6次突然呼吸心跳全部感觉不到,父母
立即开车送福州南京军区总医院,路上时间30分钟,母亲车上不停做心外按压并人工呼
吸,送医院医生确定呼吸心跳全无,经抢救,小孩有非常微弱呼吸,医生持续抢救近一
小时,并两次心外电击除颤8点21分左右恢复心跳及自主呼吸。进入重症监护室上呼吸
机,之后发生抽筋,发高烧40.7度高烧,经治疗稳定下来。第一天大概使用安定及营
养和保护神经脏器类药物,心跳200多次每分钟,但血氧达100%,呼吸稳定。白细胞,C
反应蛋白,肾肌酐正常范围,尿素氮稍高9.02。小孩所有反射反应都有,对母亲呼唤
有反应。晚上挂了5瓶丙种球蛋白。第二天体温大致在38-39度之间,没有抽筋但肌张
力强,瞳孔对光反应尚好,两眼瞳孔略扩大,使用药物基本同第一天。第三天即19号丙
种球蛋白停用,凌晨四点体温降至37度6,全天体温基本保持37度至38度间,血压基本
正常血糖基本正常,但清涕状痰液增多,小孩进入深度昏迷期,膝跳反应消失,对针刺
足底无反应,瞳孔对光反应变慢,瞳孔稍扩大,血氧含量基本保持在95%以上。上午试
图调慢呼吸机让她恢复自主呼吸,但小孩自主呼吸不稳定无法撤机。请各位朋友帮忙转
发各网站并海外网站,小孩在仅有6天感冒流清涕过程中,其间只有有两天4次服用艾畅
用药史,为何仅在10分钟内突发呼吸心跳衰竭?除流涕外无发烧呕吐及严重外伤史?有
哪位曾经碰到类似病例或推荐国内外专家?请联系18906937080。
Rourou, female, 2 1/2 year old, suddenly stopped breathing after 5,6
irregular breathing on 6:50 am Dec.17. 2014, no heartbeat and pulse were
felt by her parents. She was then immediately sent to the Nanjing Military
General hospital in Fuzhou by her parents. 30 minutes CPR was performed by
the mother on the way. Upon admission, it was confirmed that Rourou had no
heart beat but was able to breath weakly. 8:21 am, an hour after continues
advanced CPR including twice electronic shocks, Rourou regained heart beats.
She was then admitted to ICU and placed on ventilator. Seizure like
activities and high temperature up to 40.7 degree Celsius were observed and
treated accordingly. She had received parenteral nutrition, anti-anxiolytics
as well as neuro-protective medications during the first day of admission.
On that day, her heart rate sustained over 200 beats/minute, pulse oximetry
was 100%. All her labs including WBC, C reactive protein and creatine levels
were normal, BUN was 9.02. She had positive reflexes and was reactive to
arousal. 5 bottles of gamma globulin were infused during the first night. On
the second day, her temperature was between 38 to 39 degree Celsius. Strong
muscle tension without seizure activity was noted. Her pupils were slightly
dilated but were reactive to light. Similar to the first day medications
were given. Gamma Globulin was discontinued on day 3, her temperature
decreased to 37.6 degree Celsius at 4 am and then returned to 37 to 38 on
the following day. She had normal BP and blood sugar with increasing amount
of clear sputum noted. From day 3, she fell into a deep coma, her knee
reflex diminished, pupils were dilated and unreactive to light, pulse ox
remained above 95%. Attempt to withdraw ventilator failed due to
unsuccessful autonomic regulation in maintaining regular breathing. The kid
was in normal health before this event. She had a common cold that last for
6 days and received only 4 doses of pediatric Motrin for a two day period. | a**e 发帖数: 5094 | 2 没echo, 没胸片,没脑部影像,没腰穿,。。。。。你确认家长把病例都找全了?还是
故意考大家?
,C
【在 s*****n 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 老同学的朋友的女儿肉肉,女,2岁近6个月。2014年12月17日早上6点50分至7点间突然 : 深吸一口气停4、5秒再深吸一口气,如此反复5、6次突然呼吸心跳全部感觉不到,父母 : 立即开车送福州南京军区总医院,路上时间30分钟,母亲车上不停做心外按压并人工呼 : 吸,送医院医生确定呼吸心跳全无,经抢救,小孩有非常微弱呼吸,医生持续抢救近一 : 小时,并两次心外电击除颤8点21分左右恢复心跳及自主呼吸。进入重症监护室上呼吸 : 机,之后发生抽筋,发高烧40.7度高烧,经治疗稳定下来。第一天大概使用安定及营 : 养和保护神经脏器类药物,心跳200多次每分钟,但血氧达100%,呼吸稳定。白细胞,C : 反应蛋白,肾肌酐正常范围,尿素氮稍高9.02。小孩所有反射反应都有,对母亲呼唤 : 有反应。晚上挂了5瓶丙种球蛋白。第二天体温大致在38-39度之间,没有抽筋但肌张 : 力强,瞳孔对光反应尚好,两眼瞳孔略扩大,使用药物基本同第一天。第三天即19号丙
| s*****n 发帖数: 318 | 3 不是啊。 好像说是呼吸机撤不下来,人动不了。
【在 a**e 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 没echo, 没胸片,没脑部影像,没腰穿,。。。。。你确认家长把病例都找全了?还是 : 故意考大家? : : ,C
| a**e 发帖数: 5094 | 4 那就是要找原因为什么呼吸机撤不下来啊。我不信国内医生什么检查都没做,家长肯定
病例没写全。
【在 s*****n 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 不是啊。 好像说是呼吸机撤不下来,人动不了。
| b*******l 发帖数: 27 | 5 看看这个,一些小孩的突然死亡是无法解释的,尸体解刨都没有发现原因的都有
http://www.kellerearnosethroat.com/health-library/hw-view.php?D
Sudden unexplained death in childhood (SUDC) is defined as the sudden death
of a child greater than one year of age that remains unexplained after a
thorough case investigation, including performance of a complete autopsy,
examination of the death scene, and review of the clinical history.
Big Bless!
http://www.sudc.org/AboutUs/Memorials.aspx
,C
【在 s*****n 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 老同学的朋友的女儿肉肉,女,2岁近6个月。2014年12月17日早上6点50分至7点间突然 : 深吸一口气停4、5秒再深吸一口气,如此反复5、6次突然呼吸心跳全部感觉不到,父母 : 立即开车送福州南京军区总医院,路上时间30分钟,母亲车上不停做心外按压并人工呼 : 吸,送医院医生确定呼吸心跳全无,经抢救,小孩有非常微弱呼吸,医生持续抢救近一 : 小时,并两次心外电击除颤8点21分左右恢复心跳及自主呼吸。进入重症监护室上呼吸 : 机,之后发生抽筋,发高烧40.7度高烧,经治疗稳定下来。第一天大概使用安定及营 : 养和保护神经脏器类药物,心跳200多次每分钟,但血氧达100%,呼吸稳定。白细胞,C : 反应蛋白,肾肌酐正常范围,尿素氮稍高9.02。小孩所有反射反应都有,对母亲呼唤 : 有反应。晚上挂了5瓶丙种球蛋白。第二天体温大致在38-39度之间,没有抽筋但肌张 : 力强,瞳孔对光反应尚好,两眼瞳孔略扩大,使用药物基本同第一天。第三天即19号丙
| s*****n 发帖数: 318 | 6 感谢各位答复和关注得朋友们,肉肉这两天情况如下:目前到现在治疗美平抗感染,白
蛋白、甘露醇、弗赛敏脱水,还有静脉激素运用,入院到现在从浅昏迷到深昏迷状态,
其他指标肝脏和心肌恢复中,脑部的损害在加重。这两天经历了两次非常危险的情况,
昨天体温和心跳持续降低,心跳60多,体温无法测出。经抢救,现在体温36.3,心跳
100,血氧饱和度100%,自主呼吸每分钟有10多次。体内脏器情况良好,彩超基本排除
了心肌炎可能性。但孩子现在最大问题是仍处于昏迷,戴呼吸机,无法CT和核磁检查,
也暂未做腰椎穿刺检查。血液检查排除了遗传和手足口病。分析可能性比较大是病毒性
脑炎。专家认为福州总院的医疗方案是正确的,抢救也很及时。特别是在孩子停止呼吸
一个小时的情况下,把孩子抢救回来,非常了不起。下一步要等孩子合适时做CT和核磁
检查,必要时请专家会诊,还要请大家帮助。谢谢。 | s*****n 发帖数: 318 | 7 好担忧小生命的安危。Bless!
death
【在 b*******l 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 看看这个,一些小孩的突然死亡是无法解释的,尸体解刨都没有发现原因的都有 : http://www.kellerearnosethroat.com/health-library/hw-view.php?D : Sudden unexplained death in childhood (SUDC) is defined as the sudden death : of a child greater than one year of age that remains unexplained after a : thorough case investigation, including performance of a complete autopsy, : examination of the death scene, and review of the clinical history. : Big Bless! : http://www.sudc.org/AboutUs/Memorials.aspx : : ,C
| a*********8 发帖数: 296 | 8 至少给个脑脊液的结果吧,要不咋诊断的病毒性脑炎。 |
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