论文部分内容阅读
患者男,28岁,四川民工,住院号:37025。于1992年元月25日夜间,在密闭的室内烤碳火睡眠,次日晨被发现昏迷,口吐白沫,当日11(30/AM)急诊入院。近一周来无任何不适,正常工作,平素体健,无心肺疾病史。查体:一般情况尚可,呈深昏迷状,体温:37.4℃,血压:12/8Kpa,脉搏:104次/分,全身皮肤可见散在紫斑,有的表面呈小水泡。胸廓对胸无畸形,双肺叩清音,呼吸音粗糙,闻少量散在干罗音,心无特殊,肝脾未扣及,四肢肌张力、腱反射减弱,双下肢克氏征(+),布氏征、巴氏征(±)。实验室检查:Hb:144.7g/L。WBC:13100,中性:87。淋巴:13。碳氧血红旦白>50%,K~+:3.9mmol/L,Na~+:140mmol/L,Cl~-:105.5mmol/L,Ca~(++):1.5mm
Male patient, 28 years old, Sichuan migrant workers, hospital number: 37025. On the night of January 25, 1992, a charcoal fire was exhausted in a closed room and was found unconscious and foaming at the morning of the next morning. The emergency room was taken at 11 (30 / AM) on the same day. Nearly a week without any discomfort, normal work, usually no health, no history of heart and lung disease. Physical examination: the general situation is acceptable, was a deep coma, body temperature: 37.4 ℃, blood pressure: 12 / 8Kpa, pulse: 104 beats / min, scattered purple skin visible systemic, and some were small blisters on the surface. Thoracic chest without deformity, lungs knock clear voice, rough breathing sounds, smell a small amount of scattered dry rales, no special heart, liver and spleen without buckle, limb muscle tension, tendon reflexes, lower limb Kirschner sign (+), cloth Shi’s sign, Pakistan’s sign (±). Laboratory tests: Hb: 144.7g / L. WBC: 13100, Neutral: 87. Lymph: 13. (+): 150mmol / L, Na ~ +: 140mmol / L, Cl ~ -: 105.5mmol / L, Ca ~