论文部分内容阅读
患者男性,34岁,在乘坐客车途中突然不明原因昏迷30min,于2005年8月28日上午11时由他人急送我院急诊科。发病及途中无抽搐、无呕吐。人院体检:体温36.2℃,血压110/80 mmHg,呼吸10次/min。患者呈深昏迷状态,双眼球凝视,双侧瞳孔如针尖大小,口唇紫绀,呼吸浅慢不规则,有时呈叹息样呼吸,心率100次/min,心音稍低,未闻杂音,双肺呼吸音弱,未闻罗音,腹软,上腹部稍膨隆,肝脾肋下未触及,四肢湿冷,肌张力差,腱反射消失,病理征未引出。
Male, 34, was suddenly unconscious on the bus for 30 minutes unconsciously. He was promptly sent to our emergency department by 11 o’clock on the morning of August 28, 2005. No convulsion and no vomiting on the way. Hospital medical examination: body temperature 36.2 ℃, blood pressure 110/80 mmHg, breathing 10 times / min. Patient showed a deep coma, binocular gaze, bilateral pupils such as the tip size, cyanotic lips, breathing slowly and irregularly, sometimes sigh-like breathing, heart rate 100 beats / min, heart sounds slightly lower, unheard noise, lung breath sounds Weak, unheard rales, abdominal soft, slightly bulging upper abdomen, liver and spleen ribs untouched, cold limbs, poor muscle tension, tendon reflex disappeared, the pathological sign did not lead.