论文部分内容阅读
患者女性,16岁.因高热1周.头昏、恶心1天,解稀便2次于1991年6月4日入院.体检:T37℃,P90次/分,R20次/分,BP14/10kPa.皮肤巩膜无黄染、出血点及玫瑰疹.两肺呼吸音清.心率90次/分,律齐,无病理性杂音.腹平软,无压痛.肝、脾肋下未及.血 Hb100.8g/L,WBC4.0×10~9/L,N0.60,L0.38,E0.10,M0.10,血小板130.0×10~9/L.肝功能正常,HBsAg阴性、肥达氏反应O>1:320(+),H>1:320,甲>1:160(+),乙>1:160.ECG示Ⅱ度窦房阻滞呈2:1传导;加速性交界性逸搏心律;完全性右束支传导阻滞(CRBBB);完全性房室分离、入院后予抗炎、对症治疗.第2天下午3时30分患者突然出现频发抽搐,每3～5分钟发作一次.查BP13/7kPa,血K~+4mEq/L,Na~+130mmol/L,Cl~-
Female patient, age 16, due to high fever for 1 week, dizziness, nausea for 1 day, solution of loose stool twice in June 4, 1991 admitted to the hospital Physical examination: T37 ℃, P90 beats / min, R20 beats / min, BP14 / 10kPa Skin sclera without yellow dye, bleeding points and roseola .Life breath sounds clear .Return heart rate 90 beats / min, law Qi, no pathological murmur.Abdominal soft, no tenderness.Liver, .8g / L, WBC4.0 × 10 ~ 9 / L, N0.60, L0.38, E0.10, M0.10, platelet 130.0 × 10 ~ 9 / L. Normal liver function, HBsAg negative, Reaction O> 1: 320 (+), H> 1: 320, A> 1: 160 (+), B> 1: 160.ECG showed Ⅱ degree sinoatrial block was 2: 1 conduction; Complete heartburn; complete right bundle branch block (CRBBB); Complete atrioventricular separation after admission to anti-inflammatory and symptomatic treatment .At the 2nd day at 3:30 in patients with sudden onset of frequent convulsions, every 3 to 5 minutes Attack once.Check BP13 / 7kPa, blood K ~ +4 mEq / L, Na ~ +130 mmol / L, Cl ~ -