高原昏迷是高原疾病中的一种急症、危症,少数病人在昏迷前期可出现多语、情绪兴奋和烦躁不安等表现。部分患者进入昏迷期伴有抽搐。烦躁不安和抽搐,使机体的耗氧量明显增加,从而使脑细胞更进步缺氧而加重脑水肿。苯巴比妥可使患者情绪安静、抽搐中止,这样可使机体的耗氧量减少,对脑水肿的恢复有一定意义。通过我们临床观察,苯巴比妥对高原昏迷伴有烦躁不安和抽搐的患者有满意的疗效。病例介绍:一、患者刘××,男性,20岁,汉族,四川籍,由内地快速进入高原地区(海拔4 700米),出现头昏、头痛、多语、烦躁不安、呕吐。诊断:高 Plateau coma is an acute disease in the plateau disease, the disease, a small number of patients in early coma can appear multilingual, emotional excitement and restlessness and other performance. Some patients into the coma with convulsions. Irritability and convulsions, so that the body’s oxygen consumption increased significantly, so that more progressive hypoxia of brain cells and increased brain edema. Phenobarbital patients can make patients sedate, convulsions aborted, so that the body can reduce oxygen consumption, the recovery of cerebral edema has some significance. Through our clinical observation, phenobarbital has a satisfactory effect on patients with agitation and convulsions in altitude coma. Case description: I. Patients Liu XX, male, 20 years old, Han nationality and Sichuan nationality, entered the plateau area rapidly from the Mainland (4,700 meters above sea level) with dizziness, headache, multilingualism, restlessness and vomiting. Diagnosis: high