女,34岁,农民;于1985年10月19日下午6时30分,切鸭肉时,吃鸭吨及鸭肠各一小块,重约15克,该鸭系吃死老鼠蛆虫中毒而死。约15分钟后,患者自觉头晕、胸闷、恶寒、腹痛,全身皮肤瘙痒及皮疹,继而意识模糊,大小便失禁、四肢冰冷、出汗。于当晚7时急诊入院。既往健康,无过敏史,发病前未服任何药物。检查:体温不升,四肢冰冷,脉搏微弱,呼吸36次/分,血压58/?毫米汞柱,神志不清,口唇、指甲紫绀,全身皮肤可觅红色小丘疹,瞳孔等大,对光反射存在,颈软,心率每分钟120次,律整,心音减弱、未闻 Female, 34 years old, farmer; at 19:30 on October 19, 1985, when cutting the duck, eat a ton of ducks and ducklings, weigh about 15 grams, the duck eat dead mouse maggot poisoning and dead. About 15 minutes later, the patient conscientiously dizzy, chest tightness, aversion to cold, abdominal pain, systemic skin itching and rash, and then confusion, incontinence, cold limbs, sweating. At 7 o’clock in the evening emergency admission. Past health, no history of allergies, before taking any medication. Check: body temperature does not rise, limbs cold, weak pulse, breathing 36 beats / min, blood pressure 58 /? Mm Hg, unconscious, lips, nails cyanosis, systemic skin can be found red papules, pupils and other large, light reflex Existence, neck soft, heart rate 120 beats per minute, law, heart sounds weakened, not heard