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李某,女性,24岁,未婚。住院号:806,于1965年7月3日住院,既往及家族中无精神病。患者于1965年6月18日突然精神失常,兴奋躁动,到处乱跑,胡言乱语。6月27日和28日经某县医院先后两次肌肉注射胰岛素120单位和80单位,再来作其他任何处理,数小时后表现神智昏迷,大汗淋淋,口吐泡沫。急诊入某院抢救无效,于7月3日转入我院。体格检查:体温39℃,呼吸30次/分,血压:140/120毫米汞柱,神智昏迷,面色苍自,心肺无异常发现,右眼失明(幼年病后),左侧瞳孔缩小,对光反应及痛觉反应迟钝,四肢强直或阵挛、项强和肢体扭转痉挛,大小便失禁,双侧巴彬斯基氏阳性。实验室检查:血糖45毫克％,血氨206微克％,血钙77毫克％。
Lee, female, 24 years old, unmarried. Hospitalization number: 806, was hospitalized on July 3, 1965, with no mental illness in the past and in the family. Patients in June 18, 1965 sudden mental disorders, excited restlessness, running around, nonsense. On June 27 and 28, a county hospital twice successively administered 120 insulin units and 80 units intramuscularly for any other treatment. After several hours, the patient showed a feeling of unconsciousness, sweating and a vomit bubble. Emergency treatment into a hospital invalid, on July 3 into our hospital. Physical examination: body temperature 39 ℃, breathing 30 beats / min, blood pressure: 140/120 mm Hg, unconsciousness, pale, no abnormal heart and lung findings, blindness in the right eye (after childhood), left pupil narrowing, light Response and painful unresponsiveness, limb stiffness or clonus, strong and torsion spasm, incontinence, bilateral Papanicides positive. Laboratory tests: 45 mg of blood glucose, 206 mg of ammonia, 77 mg of calcium.