氯氮中毒1例

• 作 者: 李成虎
• 机 构: 安徽省明光市嘉山集医院 239432
• 出 处: 中国乡村医药
• 发表日期: 2001年09期
• 关键词: 入院初步诊断 瓣膜听诊区 对光反应 口角歪斜 感觉迟钝 病理反射 浅昏迷状态 脑血栓形成 昏迷不醒 膝腱反射

患者女性,农民,68岁。因口角歪斜、昏迷不醒约12小时入院。查体:呈浅昏迷状态。营养差,皮肤粘膜无黄染。两侧瞳孔略增大,对光反应迟钝。右侧口角歪斜,面部感觉迟钝,舌体居中。咽无充血,颈无抵抗。两肺无异常。心率100次/分,律齐,各瓣膜听诊区未闻及病理性杂音。腹软,肝脾未触及。四肢肌力差,两膝腱反射消失,余病理反射未引出。入院初步诊断:脑血栓形成。

Female patient, farmer, 68 years old. Due to the skew angle, unconscious about 12 hours admitted. Physical examination: a shallow coma state. Poor nutrition, skin and mucous membrane without yellow dye. On both sides of the pupil slightly increased, slow response to light. Squint on the right side of the mouth, face feeling dull, tongue centered. Throat without congestion, neck without resistance. No abnormal lungs. Heart rate 100 beats / min, law Qi, the valve auscultation area did not smell and pathological murmur. Abdomen soft, liver and spleen not touched. Limb muscle weakness, two knee tendon reflex disappeared, the remaining pathological reflex did not lead. Admission to a preliminary diagnosis: cerebral thrombosis.