论文部分内容阅读
患者,男,47岁,住院号650414。因肌注麻黄碱后昏迷、左侧偏瘫10小时于1965年6月5日急诊入院。10小时前共三人取兽用盐酸麻黄碱相互注射取乐。患者接受6％溶液共2.5毫升注射后约5分钟,自觉头痛与心悸严重,乃又自饮白酒一口,随即语言不流利,问之不答,二便失禁,昏迷。既往健康,嗜烟酒。血压150/100毫米汞银柱,昏迷,颜面潮红多汗,心肺腹检查无异常,左侧偏瘫,左侧鼻唇沟变浅,左侧肢体呈弛缓性瘫。右侧上下肢持续性震颤。腰穿时流出一致血性脑脊液,镜下见红细胞满视野。住院后按脑溢血给予止血、镇静、降颅压、抗感染等药物,给氧、吸痰、兼用呼吸兴奋剂。经持续26
Patient, male, 47 years old, hospital number 650414. Due to intramuscular ephedrine coma, left hemiplegia 10 hours in June 5, 1965 emergency admission. 10 hours ago, a total of three beasts were injected with ephedrine hydrochloride. Patients received 6% solution 2.5 ml after about 5 minutes after injection, conscious headache and severe heart palpitations, but also drink a liquor, then the language is not fluent, asked not to answer, two incontinence, coma. Past health, addiction and alcohol. Blood pressure 150/100 mm Hg column, coma, facial flushing sweating, no abnormal cardiopulmonary abdominal examination, left hemiplegia, left nasolabial fold shallow, left limb flaccid paralysis. The right upper limb sustained tremor. Waist wear out when the same bloody cerebrospinal fluid, microscopic red blood cells see full field. Hypertensive hemorrhage given after hospitalization to stop bleeding, sedation, reducing intracranial pressure, anti-infection drugs, oxygen, suction, and respiratory stimulants. After a sustained 26