患者男,20岁,农民,1978年6月20日上午7时入院。一天前早晨突感四肢软弱无力,不能站立,服中药后无好转。入院当天凌晨3时许,四肢完全不能活动,不能排尿,并感心悸气紧。以往健康,无类似病史。入院时体温38℃,血压130/80,神志朦胧,烦躁不安,呼吸浅速,唇色发绀。右胸呼吸运动显著减弱,右肺呼吸音几乎听不到,左肺可闻痰鸣。心音低钝,心律不齐,心率64次,未闻杂音。腹软略胀,肠鸣音弱。四肢软瘫,肌力零度。膝反射消失,病理征(-)。心电图示“心肌劳损”。入院后疑“急性脊髓炎伴上行性麻痹”。因病情危重,未及等待有关化验结果,即予鼻导管吸氧,静滴呼吸兴奋剂,细胞色素C及地塞米松10毫克,肌注青、链霉素。2小时后,病情无好转,出现浅昏迷,呼吸极弱,发绀显著,口腔分泌物多,并有频发性期前收缩。此时获得血清钾为2.6毫当量/升,乃急从静脉滴入15%氯化钾10毫升(按0.3%浓度以葡萄糖液稀释),继续使用呼吸兴奋剂及吸氧等措施。查心电图,于多数导联上 Male patient, 20 years old, farmer, admitted at 7:00 on June 20, 1978. One morning before the sudden sense of limb weakness, can not stand, no improvement after taking Chinese medicine. 3 o’clock on the day of admission, limbs can not move, can not urinate, and feel palpitations. Past health, no similar history. Admission, body temperature 38 ℃, blood pressure 130/80, mind hazy, irritability, shallow breathing, cyanosis lip color. Right chest breathing was significantly weakened, right lung breath sounds almost not heard, the left lung can be heard phlegm. Low heart sound blunted, irregular heartbeat, heart rate 64 times, unheard noises. Abdominal soft slightly swollen, bowel sounds weak. Limb paralyzed limbs, muscle strength zero. Knee reflex disappeared, pathological sign (-). ECG shows “myocardial strain.” Suspected “acute myelitis with paralysis after admission.” Due to critical condition, did not wait for the test results, that nasal catheter oxygen, intravenous breath stimulants, cytochrome C and dexamethasone 10 mg, intramuscular injection of green, streptomycin. 2 hours later, the condition did not improve, there was a shallow coma, extremely weak breathing, cyanosis significantly, oral secretions and more, and frequent premature contractions. At this point to obtain serum potassium was 2.6 milliequivalents / liter, but anxiously from the intravenous infusion of 15% potassium chloride 10 ml (0.3% concentration diluted with glucose solution), continue to use respiratory stimulants and oxygen and other measures. Check electrocardiogram, on most leads