论文部分内容阅读
1.临床资料 患者,男,56岁,农民。因昏迷24小时于1998年11月20日经急诊就诊。查体:T35.6C、P84次/分,R18次/分,BP14.7/9.3Kpa,神志不清,呼吸平稳,双瞳孔等大正圆,直径约3.5mm,光反射迟钝、无颈强,心肺查体无异常,下腹部膀胱区充盈,叩诊浊音,生理反射消失,病理反射未引出。急检血糖值为0mmol/L。诊断:低血糖昏迷,急性尿潴留。立即给50％葡萄糖60ml静注,注射过程中观察病人瞳孔光反射逐渐灵敏,双肱
1. Clinical data patients, male, 56 years old, farmer. Due to coma 24 hours on November 20, 1998 by emergency treatment. Examination: T35.6C, P84 times / min, R18 beats / min, BP14.7 / 9.3Kpa, unconsciousness, smooth breathing, double pupil and other large round, diameter of about 3.5mm, light reflex dull, Cardiopulmonary examination was normal, filling the bladder area under the abdomen, percussion dullness, physiological reflex disappeared, the pathological reflex did not lead. Urgent blood glucose was 0mmol / L. Diagnosis: hypoglycemic coma, acute urinary retention. Immediately give 50% glucose 60ml intravenous injection of the patient pupil light reflex gradually sensitive, double brachial