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我们应用解磷定,强力宁治疗1例肝昏迷患者在3～4天逐渐清醒,连用意识恢复正常,报告如下。 1 临床资料 患者,女,45岁,患乙肝19年。2天前中午饮酒后逐渐昏迷并加重,在当地医院给予能量合剂治疗未见好转而转住我院。体温37℃,脉搏90次/分,呼吸24次/分,血压13/8kPa。神志不清。浅昏迷,瞳孔较前扩大,对光反射迟钝,巩膜轻度黄染,全身皮肤暗黄,颈软,心率82次/分,律齐,未见到病理性杂音,两肺呼吸音粗,未听到干湿性啰音,腹部膨隆,腹水征(+),腹壁静脉曲张不明显,下肢肌力正常,肌张力亢进,有时
We use Phosphorus, strong Ning treatment of 1 case of hepatic coma patients gradually awake in 3 to 4 days, with awareness back to normal, the report is as follows. 1 clinical data patients, female, 45 years old, suffering from hepatitis B for 19 years. 2 days ago at noon after drinking gradually coma and aggravate, in the local hospital to give energy mixture did not improve the treatment and transferred to our hospital. Body temperature 37 ℃, pulse 90 beats / min, breathing 24 beats / min, blood pressure 13 / 8kPa. Unconsciousness. Shallow coma, dilated pupils than before, slow light reflex, mild yellowish scleral skin, body skin dark yellow, neck soft, heart rate 82 beats / min, law Qi, no pathological murmur, coarse breath sounds in both lungs, Heard dry wet rales, bulging belly, signs of ascites (+), abdominal varicose veins is not obvious, lower extremity muscle strength, hyperthyroidism, and sometimes