患者,女,34岁。因左膝关节软组织挫裂伤清创缝合术后住院治疗。既往患类风湿性关节炎,连续服用地塞米松3年余,本次外伤后突然停药31小时,出现呼吸困难,每分钟46次,体温38.7C,脉搏触不清、血压测不到,面色及口唇发绀,四肢厥冷。口渴、尿量减少,腹泻,排柏油样大便约1000ml,全身皮肤可见散在的片状暗紫色淤斑。以左下肢为著,续之惊厥昏迷。查心电图有阵发性心动过数,心率214次/分,白 Patient, female, 34 years old. Surgical treatment of debridement and suturing after left knee joint soft tissue laceration. Past suffering from rheumatoid arthritis, continuous use of dexamethasone for more than 3 years, the sudden withdrawal after the trauma 31 hours, breathing difficulties, 46 times per minute, body temperature 38.7C, pulse touch, blood pressure can not be measured, Facial and lips cyanosis, extremities Jueleng. Thirst, decreased urine output, diarrhea, asparaced stool about 1000ml, the body visible scattered patches of dark purple ecchymosis. To the left lower extremity, continued convulsions coma. Check electrocardiogram have paroxysmal heartbeat, heart rate 214 beats / min, white