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患者女,75岁.因癫痫大发作14小时入院。既往高血压病史10年,平素血压22/10kPa,脑梗塞后遗症半年,左侧肢体肌力Ⅲ级,无癫痫史。4天前始精神萎糜,嗜睡,言语不利,在家静点5％葡萄糖500ml加参麦注射液40ml(杭州正大青春宝药业有限公司产,批号9601262—2),第1日输液后患者兴奋,多语,易激动,睡眠减少,第2日输液后约20分钟突然意识丧失,眼向右凝视,瞳孔散大,口吐白沫,四肢强直性抽搐,小便失禁,持续约20分钟,间隔10—20分钟,反复发作3次,速吸氧,测血压24/15kPa,肌注安定20毫克,头颅CT与4个月前比较示颞顶、枕顶液化灶有所扩大,脑电图示:慢化α节律,颞叶、顶叶低电压,全导联可见棘—慢综合波,以中
Female patient, 75 years old. Admitted to hospital due to epileptic seizures for 14 hours. Previous 10 years of history of hypertension, general blood pressure 22 / 10kPa, sequelae of cerebral infarction for six months, left limb muscle Ⅲ grade, no history of epilepsy. 4 days before the spirit of wilting, drowsiness, verbal unfavorable, at home, intravenous infusion of 5% dextrose 500ml plus Shenmai injection 40ml (Hangzhou Chia Tai Ching Po Pharmaceutical Co., Ltd., batch number 9601262-2), the first day after infusion of patients excited , Multilingual, irritable, decreased sleep, about 20 minutes after the infusion on the second day of sudden loss of consciousness, staring eyes to the right, dilated pupils, foaming at the mouth, twitching extremities, incontinence for about 20 minutes, interval 10-20 minutes, repeated attacks 3 times, speed oxygen, blood pressure 24 / 15kPa, intramuscular injection stability 20 mg, head CT and 4 months ago showed the top of the temporomandibular liquefaction stove has been expanded, EEG : Moderate rhythmic α, temporal lobe, parietal lobe low voltage, all leads can be seen spine - slow synthesis wave to