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患者中年男性,被发现躺倒在路边,急诊入院。查体:持续低体温,P:40bpm,R:12bpm,BP:80/44mmHg。神志不清,呈张口、叹气样呼吸,颜面、口唇紫绀,压眶有反应。双侧角膜混浊,双侧瞳孔不等大(左0.3cm,右0.4cm),对光反射迟钝。颈软,气管居中,双肺呼吸音对称,双下肺可闻及少许细小湿性罗音,心界无扩大,心音低钝,未闻及心脏杂音。腹部平软,双下肢明显紫绀,可见大理石样花纹,无浮肿,四肢有自主活动。肢体坠落试验可疑阳性,布什征、克氏征阴性,病理征未引出。血钾:3.6mmol/L,钠:136.4mmol/L,氯:105.4mmol/L,钙:
Middle-aged patients were found lying on the roadside, emergency admission. Physical examination: continued hypothermia, P: 40bpm, R: 12bpm, BP: 80 / 44mmHg. Confusion, was mouth, sigh breath, face, lips cyanosis, pressure orbital reaction. Bilateral corneal opacity, bilateral pupils ranging from large (left 0.3cm, right 0.4cm), the light reflex slow. Neck soft, the middle of the trachea, lung breath sounds symmetrical, can be heard under the lungs a little and a little wet rales, no expansion of heart, low heart sound blunt, no smell and heart murmur. Abdomen soft, clear lower extremity cyanosis, visible marble-like pattern, no edema, limbs have their own activities. Physical fall test suspicious positive, Bush sign, Kirschner sign negative, pathological sign did not lead. Blood potassium: 3.6mmol / L, sodium: 136.4mmol / L, chlorine: 105.4mmol / L, calcium: