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典型病例:男性,34岁,农民。头皮裂伤20天,开口困难和全身抽搐4天,于1987年3月18日14点30分入院。T38.2℃,苦笑面容,神志清楚,牙关紧闭,抽搐强烈而频繁,抽搐时有喉痉挛,舌尖部咬伤,呼吸急促,双肺可闻湿性罗音和痰鸣音。安定开始按3 mg/kg/d计算量静滴,因抽搐仍重,加大剂量到5 mg/kg/d。入院后4小时出现喉痉挛窒息,口唇与皮肤严重发绀,紧急行气管切开,吸出大量高压的脓性痰液,辅以人工呼吸后自主呼吸恢复。但抽搐仍频繁而强烈,安定用量一直加大到12mg/kg/d(24小时用量为650 mg/54kg体重),患者进入安定标准化,以后减量到
Typical cases: male, 34 years old, farmer. Scalp laceration 20 days, opening difficulties and generalized convulsions for 4 days, at 14:30 on March 18, 1987 was admitted. T38.2 ℃, smile face, conscious, tight jaws, strong and frequent convulsions, convulsions laryngospasm, tongue bites, shortness of breath, lungs can be heard wet rales and phlegm sounds. Diazepam began to 3mg / kg / d calculated intravenous infusion, convulsions still heavy, increase the dose to 5 mg / kg / d. 4 hours after admission laryngospasm asphyxia, severe cyanosis of the lips and skin, emergency tracheotomy, suctioning a large number of high purulent sputum, supplemented by artificial respiration spontaneous breathing recovery. However, convulsions are still frequent and intense, the amount of stability has been increased to 12mg / kg / d (24-hour dosage of 650 mg / 54kg body weight), the patient entered stability and standardization, and then reduced to