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患者 男,29岁。因“感冒头痛”自服甲硝唑,首日服1.2g,次日服1.6g,第三天全身无力并进行性加重,于1993年5月25日急诊入院。既往体健。家族中无遗传病史。查体:体温37℃,血压13.9/10kPa(104/75mmHg)。神志清,肥胖体型,皮肤粘膜无出血点。咽稍充血。颈软,甲状腺无肿大。胸腹部未见异常。四肢肌力约Ⅲ级,痛、温觉无异常,双膝反射存在,未引出病理反射。血常规、血小板及尿常规均正常。血钾3.2mmol/L、钠140mmol/L、氯100mmol/L、二氧化碳结合力
Patient male, 29 years old. Because of “cold headache” self-serving metronidazole, the first day of service 1.2g, 1.6g the next day, the third day of general weakness and progressive increase in May 25, 1993 emergency admission. Past physical health. Family history of no genetic disease. Physical examination: body temperature 37 ℃, blood pressure 13.9 / 10kPa (104 / 75mmHg). Conscious, obese body, skin and mucous membrane without bleeding point. Throat slightly hyperemia. Neck soft, no swelling of the thyroid. No abnormalities in the chest and abdomen. Limb muscle strength of about grade Ⅲ, pain, no abnormal temperature, knees reflex exists, did not lead to pathological reflex. Blood, platelets and urine routine are normal. Potassium 3.2mmol / L, sodium 140mmol / L, chlorine 100mmol / L, carbon dioxide binding