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[上期回顾]男,27岁。因发热1周,精神错乱2d,伴抽搐20min夜间急诊入院。曾就诊外院诊断为上呼吸道感染,予双黄连口服液及阿奇霉素等治疗后症状缓解不明显。入院查体:昏迷,压眶无反应,四肢肌张力略增高,左侧Babinski征可疑阳性。血气分析:pH 6.933,二氧化碳分压23.4 mmHg,氧分压130.8 mmHg,血氧饱和度100%,乳酸11.1mmol/L,剩余碱
[Last review] Male, 27 years old. Due to fever for 1 week, confusion 2d, with convulsions 20min night emergency admission. Have been diagnosed outside the hospital for upper respiratory tract infection, to Shuanghuanglian oral solution and azithromycin after treatment, such as symptoms are not obvious. Admission examination: coma, pressure orbital reaction, limb muscle tension increased slightly, the left Babinski sign suspicious positive. Blood gas analysis: pH 6.933, partial pressure of carbon dioxide 23.4 mmHg, oxygen partial pressure 130.8 mmHg, oxygen saturation 100%, lactic acid 11.1mmol / L, the remaining base