1临床资料患者,男性,38岁,2013年12月19日09:45以急性扁桃体炎入院。患者半月前因感冒后出现乏力,咽痛,吞咽时明显,偶有憋气,胸痛,无发热,无吞咽困难,到附近诊所静脉输液治疗4 d(15日:克林霉素0.9 g,利巴韦林0.5 g,替硝唑0.4 g;16~18日:每日头孢唑啉钠0.5 g×10支,利巴韦林0.5 g),稍有好转,18日晚突感咽喉痛,痛疼加重,自行口服救心丸稍减轻,为明确诊治来我院,门诊以“急性扁桃体炎”收入院,患者自述咽痛明显,伴头晕,恶心呕吐, 1 Clinical data Patients, male, 38 years old, December 19, 2013 09:45 Acute tonsillitis hospitalized. Half a month before the onset of fatigue due to cold, sore throat, swallowing obvious occasional suffocation, chest pain, no fever, no difficulty swallowing to the nearby clinic intravenous infusion of 4 d (15: clindamycin 0.9 g, Wei Lin 0.5 g, tinidazole 0.4 g; 16 to 18: daily cefazolin sodium 0.5 g × 10, ribavirin 0.5 g), a slight improvement on the evening of 18 sudden sore throat, pain Aggravate their own oral salvage pills slightly relieved, for a clear diagnosis and treatment to our hospital, outpatient to “acute tonsillitis ” income hospital, the patient readme narcolepsy obvious, with dizziness, nausea and vomiting,