患者女,57岁。以失语17天昏迷1小时入院。两年来,患者疲乏无力,常难抬头,食常呛口,未引起注意。1990年6月21日突然失语,不能进食和行走,多以上午9时到下午为最严重,以至靠补液来维持。发病后治疗15天仍未见效,遂转福州诊治,途中昏迷,昏迷后1小时来院急诊。体检:T38℃,P114次/分,R24次/分,Bp102/60mmHg。昏迷,全身松软,瞳孔等大、对光反应存在,呼吸深促,两肺湿性罗音,未引出病 Female patient, 57 years old. Aphasia 17 days coma 1 hour admission. Over the past two years, patients tired and weak, often difficult to look up, eat often choke mouth, did not attract attention. Suddenly aphasia on June 21, 1990, can not eat and walk, and more to 9 am to the afternoon for the most serious, and even rely on fluid to maintain. After the onset of treatment has not worked 15 days, then transferred Fuzhou treatment, the way coma, 1 hour after the coma hospital emergency. Physical examination: T38 ℃, P114 times / min, R24 times / min, Bp102 / 60mmHg. Coma, loose body, large pupils, the presence of light response, deep breathing, wet lung rales two lungs, did not lead to disease