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患者男,17岁。因酒后昏迷7小时入院。患者中午空腹饮白酒500ml,当即行走不稳,随即嗜睡,无呕吐及排尿。2小时后呼之不应,按压人中无反应,后送入本院。急诊输液500ml,导尿1500ml,收住病房。体检:T36.5℃,R25/分,P116/分,BP126/96mmHg。深昏迷,呼气中酒味浓烈。角膜、压眶反射消失,两侧瞳孔4mm,对光反应迟钝。心肺和腹部检查无异常。四肢肌张力低,腱反射消失,巴彬斯基征阴性。血电解质、血糖和肝肾功能均正常。入院后多次应用洛贝林和安钠咖等中枢兴奋剂及烟酸、维生素B_6等
Patient male, 17 years old. 7 hours after admission due to drink coma. Noon empty stomach patients drink wine 500ml, immediately walking unstable, then lethargy, no vomiting and urination. 2 hours after the call should not, pressing people without response, then into our hospital. Emergency infusion 500ml, catheterization 1500ml, admitted to the ward. Physical examination: T36.5 ℃, R25 / min, P116 / min, BP126 / 96mmHg. Deep coma, strong breath expiratory. Cornea, pressure orbital reflex disappeared, both sides of the pupil 4mm, unresponsive to light. Cardiopulmonary and abdominal examination without exception. Limb muscle tension is low, tendon reflex disappears, Babinski sign negative. Blood electrolytes, blood glucose and liver and kidney function are normal. Repeatedly after admission to the application of Lobelin and sodium sodium and other central stimulants and niacin, vitamin B_6, etc.