“闭锁综合征”是指四肢瘫、缄默,但神志清楚,能借眼球运动表达思想的一种状态,一般由桥脑、双中脑腹侧梗塞或肿瘤所致。作者报告由双内囊梗塞所致一例。男性,48岁,因双下肢粉碎性骨折及出血性休克而致昏迷。经抢救后行下肢截肢术。因呼吸不规则和高碳酸血症而行气管切开并用人工呼吸器。自入院第三天起,四肢软瘫、仅能睁眼、眨眼、且能遵医嘱转动眼球,并可追踪房间内的物品,但下颌、面肌、软腭、舌肌及颈部无自主运动。不能吞咽、吸吮或噘嘴。无咳嗽或哈欠反应。针刺肢 “Blocking syndrome” refers to a state of paralysis, silence, but conscious, able to express ideas by eye movements, usually caused by pontine or double-sided ventral infarction or tumor. The authors report a case of double internal infarction. Male, 48 years old, coma caused by comminuted fractures of both lower extremities and hemorrhagic shock. After the rescue line lower limb amputation. Tracheotomy due to irregular breathing and hypercapnia with respirator. From the third day after hospital admission, the limbs were paralyzed. They could only open their eyes and blink their eyes. They could turn their eyes as the doctor ordered and could track the contents of the room. However, the mandibles, facial muscles, soft palate, tongue muscle and neck were involuntary movements. Can not swallow, suck or pout. No cough or yawn response. Acupuncture limbs