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1.临床资料 患者,男46岁,主因发烧4天,阵发性神志不清,头晕加重1天,门诊以病毒性脑炎于9点30分收入院,入院后先给予5%葡萄糖盐水500毫升,内加维生素C2克,病毒唑0.6静滴,做青霉素皮试阴性于11点更换上生理盐水250毫升,内加青霉素800万单位,11点50分病人感觉头痛,意识加深,12点时出现四肢伸直,两眼上翻,口吐白沫,呼吸急促,立即停止青霉素,改用清开灵20毫升入液静滴,并肌注鲁米那钠效果不
1. Clinical data Patients, 46-year-old male, the main cause of fever for 4 days, paroxysmal delirium, dizziness increased one day, outpatient admission to hospital with viral encephalitis at 9:30, after admission to give 5% glucose saline 500 Ml, plus vitamin C2 grams, ribavirin 0.6 intravenous infusion of penicillin skin negative at 11 o’clock replacement of normal saline 250 ml, plus penicillin 800 million units, 11:50 patient feeling headache, deepening awareness, at 12:00 o’clock Appeared limbs straight, turn up the two eyes, spit foam at the mouth, shortness of breath, immediately stop penicillin, switch to Qinglianling 20 ml intravenous infusion and intramuscular injection of luminal sodium effect is not