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病历报告:男患,72岁。于1986年12月2日晨8时被他人发现昏迷后抬送入院。体检:体温37℃,脉搏62次/分,呼吸23次/分,血压100/70mmHg。浅昏迷,颈部无抵抗,双侧瞳孔等大等圆,四肢肌张力增强,未引出病理反射。面色略红、心率74次/分,心音强弱不等,节律不规则,脉搏短绌,无杂音,心界不大。两肺散在干罗音,腹无异常。实验室检查:碳氧血红蛋白测定阳性。白细胞7.2×10~9/L,红细胞4.5×10~(12)/L,血红蛋白130g/L。心电图示心房颤动伴Ⅱ度房室传导阻滞。入院诊断:一氧化碳中毒,冠心病,心律失常。入院后经输氧、静滴细胞色素 C、维生素 C 及脱水剂等,病情逐渐好转,神志转清。入院后10小时脉
Medical records: Male suffering, 72 years old. On December 2, 1986, at 8:00 am, he was found unconscious and escorted to hospital. Physical examination: body temperature 37 ℃, pulse 62 beats / min, breathing 23 beats / min, blood pressure 100 / 70mmHg. Shallow coma, non-neck, bilateral pupil and other large round, limb muscle tension increased, did not lead to pathological reflex. Looking slightly red, heart rate 74 beats / min, heart sound intensity range, irregular rhythm, short pulse, no noise, the heart is not big. Two lungs scattered in the dry rales, abdominal abnormalities. Laboratory tests: carboxyhemoglobin positive. 7.2 × 10 ~ 9 / L white blood cells, red blood cells 4.5 × 10 ~ (12) / L, hemoglobin 130g / L. ECG shows atrial fibrillation with a degree of atrioventricular block. Admission diagnosis: carbon monoxide poisoning, coronary heart disease, arrhythmia. Admission by the oxygen, intravenous infusion of cytochrome C, vitamin C and dehydration agents, the condition gradually improved consciousness clear. 10 hours after admission pulse