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患者,男,23岁。右手被撕棉机轧伤2h入院。急行清创缝合术,术后常规肌注TAT1500μ,大剂量抗生素应用。创口一期愈合。入院第12d诉腰部隐痛,未做特殊处理。第15d自动出院。于当晚七点患者感全身无力,腰背部阵痛,舌头活动受限,咀嚼无力,牙关稍紧,言语不清。在送往当地乡卫生院途中,出现阵发性抽搐,大汗淋漓,呈苦笑面容,呼吸急促。人院后不久,肌痉挛发作频繁,极度呼吸困难,经吸氧,人工呼吸等多种方法抢救无效,于当晚十点二十分死亡。
Patient, male, 23 years old. Right hand was torn cotton machine injury 2h admission. Urgent debridement suture, postoperative conventional intramuscular injection TAT1500μ, high-dose antibiotics. A wound healing. Admitted to the waist on the 12d vomiting pain, no special treatment. 15d automatically discharged. On the night of the seven-point patient feeling feeble, back pain, tongue activity, chewing weakness, teeth tight, speechless. Sent to the local township hospital on the way, paroxysmal convulsions, sweating, was smile face, shortness of breath. Not long after the hospital, muscle spasms frequently attacked, extreme difficulty in breathing, rescued by various methods such as oxygen inhalation and artificial respiration, and died at 10:20 that night.