患者李××,43岁,乳山县李家村漁民。在捕鱼时,被赤(鱼工)刺伤右手背部,当即昏迷,于1964年8月27日来我院就诊。检查:体温38.5℃,血压90-60毫米汞柱,神志昏迷,面色紫绀,瞳孔散大,睑肌收缩,舌被咬伤,吐血沫,全身抽搐。皮肤有散在出血点,形状不规则,大如豆粒,小如小米粒。小便失禁。心音微弱,呼吸困难,呼吸肌呈痉攀现象。肝肋下可触及,剑突下1.5厘米,脾未触及。右手拇、食指背间肌外伤一处约2×2厘米,深度2.5厘米。化验:白细胞10100,中性75％,淋巴22％,嗜硷性2％,嗜酸性1％。处理经过:给予苯甲酸钠咖啡因0.5克、复方安基比林2毫升肌注,患者略有清醒;刺伤处局麻创口切开,用1‰过锰酸钾溶液冲洗,明胶海绵压迫止血,按常规包扎。近端腕关节处用0.25％奴夫卡因50毫升环形封闭,静脉输入葡萄糖盐水500毫升、抗坏血酸 Patient Li × ×, 43 years old, Rushan Li village fisherman. In fishing, was red (fish) stab the right hand back, immediately coma, came to our hospital on August 27, 1964. Check: body temperature 38.5 ℃, blood pressure 90-60 mm Hg, mind coma, cyanosis, mydriasis, levator muscle contraction, tongue biting, vomiting Xuemo, generalized convulsions. Skin scattered in the bleeding point, the shape of irregular, as large as beans, small, such as millet grains. Incontinence Heart sounds weak, breathing difficulties, respiratory muscle spasm climbing phenomenon. Liver ribs can be touched, xiphoid 1.5 cm, spleen not touched. The right thumb, back of the index finger muscle trauma about 2 × 2 cm, a depth of 2.5 cm. Laboratory tests: white blood cells 10100, 75% neutral, lymphatic 22%, 2% basophilic, 1% eosinophilic. After treatment: give sodium benzoate 0.5 g caffeine, compound 2 ml intramuscular injection of 安比比林, the patient was slightly awake; local anesthetic wound incision wound incision, wash with 1 ‰ permanganate solution, gelatin sponge oppression hemostasis, According to conventional dressing. The proximal wrist was closed with 0.25% Nuvucaine 50ml ring, intravenous infusion of 500ml glucose saline, ascorbic acid