病例摘要 患者男,79岁,左臀摔伤1d入骨科。既往有脑梗塞史,否认糖尿病史。查体:神志清,精神欠佳。痛苦表情,左下肢外旋短缩功能障碍,其余未见异常。X线片左股骨粗隆间粉碎性骨折。入院诊断同X线片。入院因伤后食入即呕吐不止,第2d静滴10％葡萄糖1000ml,维持液1500ml,VitC3g。输液12h,神志不清,咳痰不利,体温38℃,X线片右肺下野浸润,静滴氨苄青霉素6g,间断吸氧。第3d嗜 Case Summary Male patient, 79 years old, left hip fall 1d into orthopedics. Past history of cerebral infarction, denied the history of diabetes. Examination: Conscious, unscrupulous. Painful expression, left lower extremity spin shortening dysfunction, the rest without exception. X-ray left intertrochanteric comminuted fracture. Admission diagnosis with X-ray film. Admission is due to injury after eating more than vomiting, 2d intravenous infusion of 10% glucose 1000ml, maintenance solution 1500ml, VitC3g. Infusion 12h, unconsciousness, adverse sputum, body temperature 38 ℃, X-ray right lung infiltration, infusion of ampicillin 6g, intermittent oxygen. 3d thirsty