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女患,23岁,工人。住院号:85—176。昏迷五小时就诊。家属代述于昨日晚饭后七时上床休息,十时家人呼叫未醒,疑为熟睡。至凌晨三时其母发现患者恶心呕吐,为胃内容物,四肢强直性抽搐,尿失禁,呼之不应,遂送我院急诊室。查体:T:36.8℃,P:110次/分,R:22次/分,BP:110/80mmHg。昏迷,压眶及角膜反射消失,双侧瞳孔缩小约0.1cm,光反射(±),颈软,双肺(一),HR110次/分,律齐,未闻及病理性杂音,腹软,肝脾(一),四肢肌张力增高,有时呈强直性抽搐,腱反射亢进,双侧锥体束征(+)。经反复询问病史,最后证实患者当天下午
Female suffering, 23 years old, worker. Hospital number: 85-176. Coma five hours treatment. Family representatives on the 7 o’clock yesterday after dinner to go to bed at 10 o’clock when the family call is not awake, suspected asleep. At midnight, her mother noticed nausea and vomiting in her mother’s stomach. Her stomach contents, tonic limbs, and urinary incontinence were not sent to our emergency department. Examination: T: 36.8 ° C, P: 110 beats / min, R: 22 beats / min, BP: 110/80 mmHg. Coma, orbital and corneal reflex disappeared, bilateral pupil shrinkage of about 0.1cm, light reflex (±), soft neck, lung (a), HR110 beats / min, law Qi, no smell and pathological murmurs, Liver and spleen (A), limb muscle tension increased, sometimes showed tonic twitch, tendon hyperreflexia, bilateral pyramidal tract signs (+). After repeated medical history, the patient confirmed the afternoon of the same day