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雷击患者幸存者甚少,故报导不多。雷击后短期内在肺部发现弥漫型肺水肿更罕见。现报告如下: 男性,17岁,素健。于1987年9月2日下午受雷击,逐而神志不清,四肢抽搐,又呕吐二次。急入院。查体:T38.4℃,P180,BP110/70。头部无灼伤,耳内无出血,双鼻有血痂,唇绀,心律齐,无杂音。两肺有中小水泡音,右肺较多。腹部及四肢正常。瞳孔缩小等大。颈软,生理反射存在,病理反射未引出,入院后神志转清醒。
Lightning survivors rarely, so few reports. In the short term after the lightning stroke in the lungs found diffuse pulmonary edema is rarer. The report is as follows: Male, 17 years old, prime health. In the afternoon of September 2, 1987 by lightning, gradually unconsciousness, limbs twitch, vomiting twice. Urgent admission. Physical examination: T38.4 ℃, P180, BP110 / 70. No burns on the head, no bleeding in the ears, double blood nose scabs, cyanosis, rhythm, no noise. Two lungs have small and medium blisters sound, more right lung. Abdomen and limbs normal. Pupil narrow and so on. Neck soft, the existence of physiological reflex, pathological reflex did not lead to consciousness after admission to awake.