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作者报导一例25岁女性患者,7年前有一年经常有发作性意识丧失伴尿失禁.脑电图正常.近半年中,在产后突然意识丧失,呼吸不规则及左侧偏瘫,数小时后恢复,但次日又多次有昏迷和呼吸紊乱发作.CT、同位素扫描、腰穿均正常,未作处理.半年后,因坐骨神经痛牵引过程中,突发呼吸暂停,以致进行气管插管行人工呼吸.此后6-8周内发作了30余次,每次发作前开始均有眼睑眨动,下颌抽动,在5-6次微弱呼吸后,随即呼吸停止,此时意识丧失、严重发绀,必须进行人工辅助呼吸.窒息期间,眼脑、角膜及咽反射均消失,瞳孔散大,5-30分钟后,开始共济失调性呼吸,然后呼吸及意识恢复,但仍呈时间不等的迷茫,嗜睡.另外还发生过长时间昏迷,其间呼吸减慢减弱、但无窒息.而有心动过速、出汗、血压增高、发热、瞳
The authors report a 25-year-old female patient who had episodes of episodic loss of consciousness and urinary incontinence seven years earlier. Normal EEG over the past six months. Loss of consciousness, irregular breathing and left hemiplegia postpartum and recovery after hours , But the next day there are many coma and respiratory disorders .CT, isotope scan, lumbar puncture were normal, untreated .After six months, due to sciatica traction during the sudden breathing pauses, resulting in endotracheal intubation Respiratory .After 6-8 weeks onset of more than 30 times, before each attack have eyelid blink, mandibular twitch, 5-6 times weak breathing, then stop breathing, loss of consciousness at this time, severe cyanosis, must be During artificial asphyxia, eye, cornea and pharyngeal reflex disappeared, dilated pupils, 5-30 minutes later, ataxia began to breathe, and then resumed breathing and consciousness, but still time was varying from confusion, Drowsiness .In addition, also occurred for a long time coma, during which weakened breathing slowed, but no asphyxia .And tachycardia, sweating, blood pressure, fever, pupil