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王某,女,31岁。因昏迷二小时急诊入院。患者病前二天在高温环境下感头昏、乏力、出汗多、微热,仍坚持劳动。入院前2小时突然神志不清,四肢阵发抽动,嘴吐白沫,大小便失禁。既往体健,无上腹痛发作史,病前无暴饮暴食史。T42℃、P116/分、R24/分、Bp 13.0/8.0kPa。昏迷,全身皮肤干热,双侧瞳孔等园约0.2cm,颈软,心律齐,心尖区2级SM,二肺可闻少许痰鸣音,腹软,肝脾未触及,四肢肌力相等,时有四肢阵发小抽动,双侧巴氏征(+)。Hb115g/L,WBC 15.15×10~9/L,N0.82,L0.17,M0.01,尿蛋白++,CO_2CP10.78mmol/L,K4.3mmol/L,Na126mmol/L,
Wang, female, 31 years old. Due to coma for two hours emergency admission. Two days before illness in patients with hypnosis in the hot environment, fatigue, sweating and more, slightly hot, still insist on labor. 2 hours before admission suddenly unconscious, limbs twitching, spit foam mouth, incontinence. Past physical health, no history of upper abdominal pain, no binge eating history. T42 ° C, P116 / min, R24 / min, Bp 13.0 / 8.0kPa. Coma, dry skin and heat throughout the body, bilateral pupils and other Park about 0.2cm, soft neck, heart rate Qi, apical 2 SM, lungs can be heard a little phlegm, belly soft, liver and spleen not touched, equal muscle strength, Bursts of time when there are four limbs, bilateral Pakistan’s sign (+). Hb115g / L, WBC15.15 × 10 ~ 9 / L, N0.82, L0.17, M0.01, urinary protein ++, CO_2CP10.78mmol / L, K4.3mmol / L, Na126mmol / L,