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患者男,32岁,农民。主因腰背酸痛、周身乏力、倦怠二月余,服中药草乌7g,川乌7g,附子等两剂,初服一剂后,自觉嘴麻、心悸、未引起重视、次日服二剂后,出现周身麻木、恶心、呕吐频繁、为胃内容物非喷射状、四肢抽搐、急诊来院。查体温37.6℃,脉搏摸不清,血压10.66/0 kPa,神志清楚,四肢抽搐、双肺无征、心音低钝、心率66次/分、律不齐,腹软平、无压痛,肝、脾均未触及。急查心电图示:短阵室速、频发多型室早二联律。十分钟后,患者血压突然测不到,颈动脉搏
Male patient, 32 years old, farmer. Mainly because of back pain, whole body fatigue, tired more than February, taking Chinese herbal medicine black 7g, Chuanwu 7g, aconite and other two doses, the first service, consciously mouth numbness, palpitations, did not pay attention to the next day after serving two , Appear whole body numbness, nausea, vomiting frequent, non-spray-like stomach contents, limbs convulsions, emergency room. Check body temperature 37.6 ℃, pulse puzzled, blood pressure 10.66 / 0 kPa, conscious, limbs convulsions, lungs without signs, heart sounds low blunt, heart rate 66 beats / min, irregular armpit, abdomen soft flat, Spleen are not touched. Urgent ECG check: PTV, frequent multi-type room as early as the second couplet. Ten minutes later, the patient’s blood pressure suddenly could not be measured, and the carotid artery stroke