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病例男,24岁,电工。入院3天前被高压电击伤头部和右小腿,头皮颅骨大面积缺损和小腿内侧Ⅲ度烧伤,总面积约12%,昏迷1天,曾在当地医院行清创术。查体:体温38.5℃,血压:17.5/10kPa(1kPa=7.5mmHg)呼吸19次/分,脉搏82次/分。意识朦胧,呼唤睁眼,答非所问。双侧瞳孔等大等圆,光反应存在。颅神经(-),颈部略抵抗。左侧上下肢肌力零级,肌张力低,左腹壁、提睾反射减弱。左 Babinski 征(+),呈左侧
Case male, 24 years old, electrician. Three days before admission, the head and right lower limbs were injured by high-voltage electric shock. Large scalp skull defects and third-degree burns on the calf were found. The total area was about 12% and coma for one day. Debridement was performed at a local hospital. Examination: body temperature 38.5 ℃, blood pressure: 17.5 / 10kPa (1kPa = 7.5mmHg) breathing 19 beats / min, pulse 82 beats / min. Consciousness dim, call open eyes, non-questioning. Big pupil and other bilateral round, light reaction exists. Cranial nerve (-), neck slightly resistant. Left upper limb muscle strength zero, low muscle tension, left abdominal wall, cremasteric reflex decreased. Left Babinski sign (+), left side