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病史摘要 钱××,男性,37岁,住院号1561。于1966年10月12日急诊入院。患者于当年10月9日下午3时许在熏仓时,因发生事故,吸入较大量溴甲烷。当时仅有眼部刺激症状,次日上午仍熏仓3分钟,后有恶心。11日晨仍照常上班,9时许逐渐出现语言不清,步态不稳,下午4时许,出现手足抽动、烦躁、昏迷症状。经吸氧及注射镇静剂后意识逐渐恢复,随即呈嗜睡状态。于当晚转入我所。既往有血吸虫病治疗史。 体检;T37.4℃(肛表),P84次/分,R20次/分,BP120/90mmHg。呈嗜睡状态,尚可正确对答,但口齿不清。双眼结膜略充血,心肺无异常,肝脾未能满意扪及,右上腹轻压痛。指鼻试验差,
History Summary Money × ×, male, 37 years old, hospital number 1561. October 12, 1966 emergency admission. Patients in the afternoon of October 9 at 3 pm when smoked warehouse, due to an accident, inhaled a larger amount of methyl bromide. At that time, only the eye irritation symptoms, the next morning is still smoked positions for 3 minutes, nausea. On the morning of 11th still working normally, at 9 o’clock there was a gradual language disorder and unsteady gait. At 4 o’clock in the afternoon, hand, foot and twitch, irritability and unconsciousness appeared. After the oxygen and injection of sedative consciousness gradually restored, then lethargic state. In the night transferred to me. Past history of schistosomiasis treatment. Physical examination; T37.4 ℃ (anal surface), P84 times / min, R20 beats / min, BP120 / 90mmHg. Was drowsy, can still correct answer, but speechless. Binocular conjunctival slightly hyperemia, no abnormal heart and lung, liver and spleen failed to meet palpable, right upper quadrant soft tenderness. Finger nose test is poor,