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王某,男,23岁,因精神异常,低热,经给苯妥英钠0.1×100片,分二次服用,服药后上腹部不适,神志逐渐不清,来我院经彻底洗胃后入院。体检:T36℃,P90次/分,BP17.29/11.97KPa,神志恍惚,检查极不合作。瞳孔等大等圆,对光灵敏,全身可见不自主运动。入院第二天体温39℃,浅昏迷,双侧视乳头轻度水肿,有明显的手足徐动和舞蹈样动作。化验:RBC4.47×10~(12)/L;WBC1.26×10~(10)/L,N82％;肝肾功能及血清K、Na、Ca浓度正常;CSF清亮,细胞总数30×10~6/L,其中WBC20×10~6/L,蛋白定量59mg/dl,糖
Wang, male, 23 years old, due to mental disorders, fever, given phenytoin 0.1 × 100 tablets, sub-second, after taking the upper abdominal discomfort, consciousness gradually unclear, to our hospital after a thorough gastric lavage admission. Physical examination: T36 ℃, P90 beats / min, BP17.29 / 11.97KPa, trance, check very uncooperative. Pupil and other big circle, sensitive to light, involuntary movement of the body visible. On the second day of admission, the body temperature was 39 ℃, light coma, slight bilateral edema of the nipple, obvious hand, foot and Xu movements and dance-like movements. Laboratory: RBC4.47 × 10-12 / L; WBC1.26 × 10 ~ (10) / L, N82%; liver and kidney function and serum K, Na, Ca normal concentration; CSF clear, the total number of cells 30 × 10 ~ 6 / L, including WBC20 × 10 ~ 6 / L, protein quantitation 59mg / dl, sugar