例一、患者刘××,男,29岁.于1982年1月22日以恶心、呕吐、腹痛、腹泻5天而入院.5天前患者不明原因头痛、头晕、易出汗、纳差、腹部不适,自认“感冒”.次日晨进不熟食物后,上述症状加重,呕吐为胃内容物,混有较多粘液.大便呈稀糊状,无脓血及下坠感,并伴有心慌、多汗、流涎,咯出大量白色粘痰,自觉有吐不尽感,说话时口角颤动,在院外按“急性胃肠炎”处理,但无好转,且渐加重,又出现发热,阵发性烦躁而转我院.既往无慢性咳嗽吐痰、高血压等病史.十天前曾因头癣局部涂抹煤油和六六六粉混合液,本次发病前一天又涂1次,但否认与有机磷农药接触.入院前在院外曾肌注氯丙嗪.体检:T38.2℃,P96次/分,BP160/110mmHg,烦躁不安,神志尚清,头部布满黄色痂片并附有六六六粉,双瞳孔中度缩小,巩膜无黄染,眼窝无下陷,鼻翼扇动,口唇稍发绀,颈软,喉中有痰鸣,两肺布满干湿罗音,心音正常,满腹轻压 Example 1. Patient Liu XX, male, aged 29. He was hospitalized for 5 days with nausea, vomiting, abdominal pain and diarrhea on January 22, 1982. Five days earlier, the patient had unexplained headache, dizziness, sweating, anorexia, Abdominal discomfort, consider themselves “cold.” The next morning into the unfamiliar food, the symptoms worsened, vomiting for the stomach contents, mixed with more mucus stool was thin paste, no sense of pus and blood falling, and accompanied by Palpitation, sweating, salivation, spit out a large number of white phlegm, vomiting consciously vomiting, speaking when the quivering, in the hospital according to the “acute gastroenteritis” treatment, but no improvement, and gradually heavier, and fever, array Hair irritability and transferred to our hospital in the past without chronic cough and spit, high blood pressure and other medical history ten days ago due to head ringworm topical kerosene and six six six powder mixture, the incidence of the previous day and painted again, but denied With organophosphorus pesticide before admission in the hospital had intramuscular injection of chlorpromazine.Physiological examination: T38.2 ℃, P96 beats / min, BP160 / 110mmHg, irritability, consciousness Shangqing head covered with yellow scab and attached Six six six powder, double pupil moderate shrinkage, sclera no yellow dye, no sink eye socket, nose flap, slightly cyanotic lips, neck soft, throat sputum Ming, lungs covered with wet and dry rales, Heart sounds normal, full soft pressure