患者男,27岁。因煤气中毒于1998年2月2日入院抢救 治疗。查体:血压120/80mmHg,体温37.1℃,呼吸26次/分, 脉搏98次/分。深昏迷,眼球无自主活动,双侧瞳孔等大等圆, 直径3mm,光反应迟钝,两肺可闻及痰鸣音及水泡音,心率 98次/分,律齐,腹部(-)。四肢肌张力高,双侧Babinski(+), 发作性四肢抽搐,双眼上翻。辅助检查:入院时血钾4.3mmol/ L,氯化物99mmol/L,钠126mmol/L,尿素氮6.8mmol/L,血 糖8.8mmol/L,尿糖及酮体(-)。X线胸片示中毒性肺水肿, 头颅CT示双侧底节区对称性低密度灶。既往体健,无特殊病 史记载。入院后立即行高压氧治疗,每日2次。并给予激素、甘 露醇治疗肺水肿及脑细胞水肿,2月4日患者出现高热,给予 冬眠疗法,同时给予抗感染、加强营养支持治疗。3天后患者病 情稳定,体温37℃,意识障碍有所减轻,眼球有自主活动。2月 Patient male, 27 years old. Due to gas poisoning on February 2, 1998 admission to hospital for treatment. Physical examination: blood pressure 120 / 80mmHg, body temperature 37.1 ℃, breathing 26 beats / min, pulse 98 beats / min. Deep coma, no eye movement, bilateral pupils and other large round, diameter 3mm, photopic reaction, both lungs can be heard and phlegm sounds and blisters sound, heart rate 98 beats / min, law Qi, abdomen (-). Extremities muscle tension, bilateral Babinski (+), seizures of the limbs, eyes flipped. Assisted examination: admission potassium 4.3mmol / L, chloride 99mmol / L, sodium 126mmol / L, urea nitrogen 6.8mmol / L, blood sugar 8.8mmol / L, urine sugar and ketone body (-). X-ray showed toxic pulmonary edema, head CT showed bilateral symmetry of the bottom of the low-density lesions. Past physical health, no special medical history records. Hyperbaric oxygen therapy immediately after admission, 2 times a day. And give hormones, mannitol treatment of pulmonary edema and brain cell edema, February 4 patients with high fever, given hibernation therapy, given anti-infection, to strengthen nutritional support and treatment. 3 days after the patient stable condition, body temperature 37 ℃, reduced consciousness, eye movement. February