患儿尼某,男性,11岁,维吾尔族,吐鲁番牙尔乡人,一日前因吃霉变甘蔗,1小时后,出现精神软弱、头疼、上腹部不适。继而恶心呕吐,呕吐物为胃内容,因病情加重,神志模糊,于1992年3月1日来院急诊就医。门诊以‘霉变甘蔗中毒’收住儿科病房。体检:体温36摄氏度,呼吸1分钟25次,脉搏1分钟100次,患儿发育一般,营养中等;重病容,呈半昏迷状态,双侧瞳孔等大而圆,对光反射迟钝;耳鼻无分泌物溢出,扁桃体Ⅰ°肿大伴充血,双肺听诊,呼吸音无特殊;心音低纯,心律齐,心率1分钟100次;腹部呈舟状,软无压痛,肝脾肋下未触及,肠鸣音尚活跃,四肢发凉呈软瘫状,肌力3级;神经系统检查,生理反射存在,病理反射未能 Nepalese children Ni, male, 11 years old, Uygur, Turpan Phillip Township, a day ago due to moldy sugar cane, 1 hour later, there was mental weakness, headache, upper abdominal discomfort. Then nausea and vomiting, vomit for the stomach content, due to aggravating confusion, to March 1, 1992 hospital emergency room. Outpatient clinic to ’moldy sugarcane poisoning’ to receive a pediatric ward. Physical examination: body temperature 36 degrees Celsius, breathing 1 minute 25 times, pulse 1 minute 100 times, children with general development, moderate nutrition; serious illness, was semi-coma, bilateral pupils and other large and round, slow light reflex; Spilled tonsils, I hyperextension with I ° enlargement, lung auscultation, no special breath sounds; heart sounds low purity, heart rate Qi, heart rate 1 minute 100 times; abdomen was a boat, soft without tenderness, liver and spleen ribs did not touch the bowel Tone is still active, cold limbs were soft paralyzed, muscle strength 3; nervous system examination, the presence of physiological reflex, pathological reflex failed