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患者,女,25岁,因与他人生气于1991年4月6日下午2时左右自服雷米封70余片(7g左右)。下午3时左右,同事发现其昏倒在地,抽搐,神志丧失,颜面青紫,即送我院急诊。患者1年半前发现肺结核后,间断服用雷米封0.3g/d治疗,无明显异常反应。入院检查:发育营养中等,体温39℃,血压14/8kPa,潮式呼吸,中度昏迷,每隔5~10min有癫痫发作1次,每次2~3min,发作间歇无意识恢复,呈癫痫大发作状态。面潮红,唇紫绀,皮肤潮湿汗多,巩膜无黄染,瞳孔等大,角膜反射及瞳孔对光反射迟钝。颈软。心率120次/min,呈第三心
Patient, female, 25 years old, was angry with others at about 2 pm on April 6, 1991, about 70 tablets (about 7 g) of self-service Remy. About 3 pm, my colleagues found that she collapsed to the ground, convulsions, loss of consciousness, face bruising, that sent to our hospital emergency room. Patient 1 year and a half ago found tuberculosis, intermittent administration of Remy Seal 0.3g / d treatment, no significant abnormal reaction. Admission examination: the development of moderate nutrition, body temperature 39 ℃, blood pressure 14 / 8kPa, tidal breathing, moderate coma, every 5 ~ 10min have seizures 1, each 2 ~ 3min, seizures intermittent unconscious recovery was epileptic seizures status. Face flush, cyanotic lips, sweaty skin, sclera no yellow dye, pupils and other large corneal reflex and pupil light reflex slow. Neck soft. Heart rate 120 beats / min, was the third heart