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1 病例报告患者男,18岁,南方新战士。咽痛、声音嘶哑半年,头痛、鼻塞、畏寒3天,曾自服“金嗓子喉宝”数次。于2000—02—20 16:00在越野时突感轻度呼吸困难,当时未介意,饭后呼吸困难加重,随即由战友背来团卫生队。查体:脉搏46/min,血压8.7/5.7 kPa(65/43mmHg)。浅昏迷,耳廓、口唇中度紫绀,双侧瞳孔对光反射迟钝,锁骨上窝、胸骨上窝、肋间隙及上腹部凹陷,并伴有吸气性喘鸣及犬吠样咳嗽。继而患者意识丧失,呼吸停止,立即“口对口”人工呼吸,同时肌注尼可刹米0.375g,约5min 后,呼吸未恢复,心跳停止,
1 case report Patient male, 18 years old, Southern New Soldier. Sore throat, hoarseness six months, headache, stuffy nose, chills 3 days, had self-serving “Golden throat throat” several times. At 2000-02-20 16:00 in the off-road suddenly felt mild dyspnea, did not mind at that time, breathing difficulties worse after meals, then returned to the regimental team by his comrades. Physical examination: pulse 46 / min, blood pressure 8.7 / 5.7 kPa (65 / 43mmHg). Light coma, auricle, moderate cyanotic lips, dull pupil light reflex, supraclavicular fossa, suprasternal fossa, intercostal space and upper abdomen depression, accompanied by aspiration wheezing and bark-like cough. Then the loss of consciousness of the patient, breathing stopped, immediately “mouth to mouth ” artificial respiration, while intramuscular injection of Nicorandil 0.375g, about 5min, the resumption of breathing did not stop the heartbeat,