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患者周炳树,年龄59岁,性别男,职业农民,崇安县武夷乡黄柏村人。一九八七年七月十三日晚七时,捕蛇时才慎被五步蛇咬伤左手掌背,请当地蛇医治疗中毒症状不能控制,伤口疼痛剧烈,出血。头痛、眼花、呕吐,继而出现意识蒙胧,烦躁。翌日中午患者昏迷不醒,送县医院抢救治疗。病人既往身体健康。检查:患者发育与营养中等,面色苍白,神志昏迷,呼吸急促,体温38.6℃,脉搏102次/分,呼吸28次/分,血压60/46mmHg,角膜反射消失,瞳孔对光反射极弱,右侧瞳孔扩大,项强,无吞咽咳痰功能,小便失禁。左手臂及左胸部有大片紫红色瘀血斑,左侧腋下淋巴结肿大。心率速,心音低纯,无杂音。肺部闻及少量干性罗音,腹部轻度膨隆,肝脾未触及,肠鸣音存在。膝神经反射消失,右侧肢体肌张力减退,对痛觉刺激无反射。
Patient Zhou Bingshu, age 59, male, professional farmers, Wuyi Township, Chong’an County Huangbai village. At seven o’clock on the evening of July 13, 1987, he was carefully bitten by the five-step snake when his snarling his left palm back. Please treat the local snake poisoning symptoms can not be controlled, severe wound pain, bleeding. Headache, vertigo, vomiting, followed by hazy mood, irritability. The next day at noon patients unconscious, sent to the county hospital for treatment. The patient was in good health. Examination: patients with moderate development and nutrition, pale, coma, rapid breathing, body temperature 38.6 ℃, pulse 102 beats / min, breathing 28 beats / min, blood pressure 60/46 mmHg, corneal reflex disappeared pupil light reflex weak Side of the pupil to expand, Xiang Qiang, no swallowing expectoration, urinary incontinence. Left arm and left chest with large purple bleeding spots, left armpit lymph nodes. Heart rate, low heart sound, no noise. Smell a small amount of dry rales lungs, abdomen slightly bulging, liver and spleen not touched, bowel sounds exist. Knee nerve reflex disappears, the right limb muscle tone decreased, no pain on the stimulation of reflex.