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(一)病例摘要患者曲××,59岁,女,病历号05170。因发热伴吐泻一天,输液后寒战高热,干1977年2月27日17点30分急诊入院。体温39℃,血压100～80/60毫米汞柱,神志清楚,心肺未发现异常。初诊急性胃肠炎,输液反应。即予输液并肌注恢压敏20毫克,血压维持在108～120/70毫米汞柱,进半流少许。次日体温降至37.3℃,右肺底可闻及中、小水泡音,胸透右肺可见大片状模糊阴影。自细胞14,500,中性89%,按肺炎合并感染性休克处理。至14点20分左右,患者诉要小便,其女将便盆送入病人臀下时,突然患者面色青灰,医护人员随至检查,心跳、呼吸已完全停止。立即进行胸外心脏挤压术,三联针心腔内注射,气管插管,气囊
(A) case summary patients song × ×, 59 years old, female, medical record number 05170. Due to fever with vomiting and diarrhea one day after transfusion shiver fever, dry February 27, 1977 at 17:30 emergency admission. Body temperature 39 ℃, blood pressure 100 ~ 80/60 mm Hg, conscious, no abnormal heart and lung. Newly diagnosed acute gastroenteritis, infusion reaction. That infusion and intramuscular injection of pressure relief 20 mg, blood pressure maintained at 108 ~ 120/70 mm Hg, into the semi-flow a little. The next day the body temperature dropped to 37.3 ℃, right lung bottom can smell and small blisters sound, chest visible through the right lung large flaky shadows. Since cells 14,500, neutral 89%, according to pneumonia complicated with septic shock treatment. To 14:20 or so, the patient complained of urination, the women will potty into the patient when the hip, the patient suddenly looked pale gray, medical staff to check, heartbeat, breathing has been completely stopped. Immediate chest compression, triple needle injection, endotracheal intubation, balloon