1案例资料1.1简要案情及病历资料王某,男,47岁。因发烧、咳嗽、头晕、右上腹疼痛两周,于2012年5月28日下午到当地医院治疗。查体:一般状态欠佳、嗜睡、面色苍白,体温38.5℃,脉搏110次/min,血压60/40mmHg,诊断:胆囊感染,感染休克。给予:25%葡萄糖100ml+VC2.5g/iv;安痛定3ml+地塞米松5mg/iv,5%葡萄糖500ml+先锋霉素5.5万单位+地塞米松10mg,静脉点滴。静点液还余100mL时,突然癫痫发作,四肢抽搐,大小便失 1 case information 1.1 brief information and medical records Wang, male, 47 years old. Due to fever, cough, dizziness, right upper quadrant pain for two weeks, on the afternoon of May 28, 2012 to the local hospital for treatment. Physical examination: poor general condition, lethargy, pale, body temperature 38.5 ℃, pulse 110 beats / min, blood pressure 60 / 40mmHg, diagnosis: gallbladder infection, septic shock. Given: 25% glucose 100ml + VC2.5g / iv; Antongding 3ml + dexamethasone 5mg / iv, 5% glucose 500ml + 55000 units of cephalosporin + dexamethasone 10mg, intravenous drip. When more than 100mL static fluid, the sudden onset of seizures, limbs convulsions, loss of urine