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患者,男,23岁,农民。于1988年1月9日7时半被人发现已神志不清,室内门窗紧闭,有火炉,煤烟味浓。8时送至本院急诊科。体格检查:体温36.4℃,脉博120次/分,呼吸40次/分,血压15/9.5kPa。深昏迷,双侧瞳孔缩小,直径约0.2cm,光反射迟钝,口唇发绀,心率120次/分,律不齐,两肺可闻及湿罗音,腱反射迟钝,病理反射未引出,脑电图重度异常。经治疗,患者昏迷第8天后出现吞咽反射,有痛觉反应,14天后处于醒状昏迷,能进食。52天后出现情感变化,59天后听力恢复。住院115天,出院时仍处于醒状昏迷,两下肢肌力Ⅱ级,脑电图正常。出院后随访,昏迷136天后神志清楚,问话能
Patient, male, 23 years old, farmer. At 7:30 on January 9, 1988 was found unconscious, closed doors and windows indoors, stoves, thick smoke. 8:00 to our hospital emergency department. Physical examination: body temperature 36.4 ℃, pulse Bo 120 times / min, breathing 40 beats / min, blood pressure 15 / 9.5kPa. Deep coma, bilateral miosis, diameter of about 0.2cm, slow light reflex, lips cyanotic, heart rate 120 beats / min, irregular arrhythmia, both lungs can be heard and wet rales, tendon reflex dull, pathological reflex did not lead to EEG Figure severe abnormalities. After treatment, the patient coma after the first 8 days swallowing reflex, pain reaction, wake up after 14 days unconscious, can eat. 52 days after the emotional changes, 59 days after hearing recovery. Hospitalized for 115 days, was still awake coma at discharge, two lower extremity muscle strength Ⅱ, normal EEG. Follow-up after discharge, consciousness 136 days after coma, ask questions