急性酒精中毒致肢体瘫痪及呼吸肌麻痹1例

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患者,男,62岁,农民。因酒后运动及感觉障碍3天,伴咳嗽无力2天,于1988年2月6日入院。患者于入院前5天在8小时内累积饮酒约500ml,随后出现嗜睡至昏迷。经当地医院抢救10小时后清醒,醒后觉四肢麻木及活动不能,并逐渐出现咳嗽无力,而入我院。既往习酒20余年,近10年来走路不稳,尤以夜间加重。查体:体温38.8℃,神清语利,呼吸困难,唇指紫绀。两肺可闻及痰鸣音。 Patient, male, 62 years old, farmer. 3 days due to alcoholism and sensory disturbances, with cough and weakness for 2 days, in February 6, 1988 admission. The patient accumulated about 500 ml of alcohol within 8 hours 5 days before admission, followed by drowsiness and coma. Rescued 10 hours after the local hospital awake, wake up feel limb numbness and activity can not, and gradually cough and weakness, and into our hospital. Both study more than 20 years of wine, walking in the past 10 years, instability, especially at night aggravate. Physical examination: body temperature 38.8 ℃, God Qing language Lee, dyspnea, lips means cyanosis. Two lungs can be heard and phlegm sounds.
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