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患者男,20岁,农民.因突发神志不清、牙关紧闭,四肢强直、小便失禁两小时入院.患者因咳嗽、气喘一周未愈,听信旁人氟哌啶醇可治疗气喘之说,到药店购买氟派啶醇片一瓶,回家后口服3片(2mg/片),约3小时后突然发病.体检:T38.8℃,P116次/分,R30次/分,BP15/8kPa.意识模糊、烦躁不安,牙关紧闭,舌严重咬伤,满口血沫.角弓反张,颈向左侧呈强直性偏斜.双侧巴氏征(士).两肺散在干、湿性罗音,全身大汗.实验室检查:WBC13×10~9/L,N 0.82,L 0.18,尿糖(十).诊断:1.恶性综合征(NMS).2.急性气管-支气管
Patient male, 20 years old, peasants due to sudden unconscious, teeth closed, limbs rigidity, urinary incontinence two hours admitted to hospital patients cough, asthma a week healed, listen to others haloperidol can treat asthma that to Pharmacy to buy a bottle of fluperidine tablets, after returning home 3 (2mg / tablets), about 3 hours after the sudden onset. Physical examination: T38.8 ℃, P116 times / min, R30 beats / min, BP15 / 8kPa. Consciousness, irritability, tightness of the mouth, severe tongue bites, mouthful of Xuemo .A corner of the bow anti-Zhang, left neck neck was tonic deflexion .Bilateral Pakistan’s sign (disabilities) Tone, sweat in the body. Laboratory tests: WBC13 × 10 ~ 9 / L, N 0.82, L 0.18, urine sugar (ten). Diagnosis: 1. Malignant syndrome (NMS) .2. Acute trachea - bronchus