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患者,女,38岁,进食腌菜(大豆、萝卜)后头晕、乏力、胸闷20天,加重6天就诊。患者主要症状为言语不清、头晕、乏力、心慌、胸闷症状加重,伴呼吸及张口困难,精神萎靡、懒言等,在当地诊所按“感冒”等治疗,症状无好转且逐渐加重来我院。查体:体温36.5℃,脉搏90min-1,呼吸20min-1,血压90mmHg/60mmHg,神志清楚,查体合作。全身皮肤黏膜无黄染,头颅无畸形,双瞳孔等大等圆,直径约3.0mm,对光反射迟钝,口唇轻度紫绀,张口困难,不能伸舌,口腔黏膜、咽部及
Patient, female, 38 years old, eating pickles (soybeans, radishes) dizziness, fatigue, chest tightness 20 days, increased 6 days treatment. Patients with the main symptoms of speechless, dizziness, fatigue, palpitation, increased chest discomfort, with respiratory and mouth difficulties, apathetic, laziness, etc., in the local clinic by the “cold” and other treatment, the symptoms did not improve and gradually increased to Our hospital. Physical examination: body temperature 36.5 ℃, pulse 90min-1, breathing 20min-1, blood pressure 90mmHg / 60mmHg, conscious, physical examination. Whole body mucous membrane without yellow dye, head deformity, double pupil and other large round, diameter of about 3.0mm, slow light reflex, lips mild cyanosis, mouth opening difficulties, can not stretch the tongue, oral mucosa, pharynx and