患者陵××,女,29岁,香河县前馬房人。1965年5月9日上午7点来院,足月第一胎产后六天,因牙关紧閉、項强一天,急診入院。于七天前分娩,当地接生,产后曾鋪用砂土。一天前自觉頸部发紧,张口困难,逐重,恐惧、全身不适、乏力,服中药一剂无效。既往素健。检查:体温37.5℃,脉搏81次/分,呼吸22次/分,血压125/90毫米汞柱。发育营养尚佳,急性苦笑面容,角弓反张,张口1.5厘米,項强。其它头、面及頸无异常,心律齐,未間杂音,两肺未发現异常,腹肌强硬,腸鳴正常。宮底在耻骨上四横指,外阴有少量分泌物,四肢活动尚好。生理反射均亢进,病理反射未引出。入院診断:产后破伤风 (重型)。入院后予以常規治疗。于入院后第三日(5月11日)上午6点35分查屏中发現患者家属自将10％水合氯醛倒入輸液瓶内(約輸入10％水合氯醛80毫升)。当时发現患者处于沉睡状态,心律130次/分,血压120/80毫米汞柱,呼吸溧长,瞳孔縮小如粟粒,对光反射迟鈍,眼球不活动,帮助翻身无抽搐現象。紧急停止原輸液,速輪入10％葡萄糖液,予四环素靜脉 Patient Ling × ×, female, 29 years old, Xianghe County former barn. May 9, 1965 at 7 am to hospital, full-term first child postpartum six days, due to trismus, Xiangqiang one day, emergency admission. Delivery seven days ago, the local delivery, post-mortem had sand. A day before the conscious neck tight, mouth difficulties, by weight, fear, general malaise, fatigue, serving a Chinese medicine invalid. Past prime. Check: body temperature 37.5 ℃, pulse 81 beats / min, breathing 22 beats / min, blood pressure 125/90 mm Hg. Development of nutrition is still good, acute smile face, angle arch anti-Zhang, mouth 1.5 cm, item strong. Other head, face and neck were normal, heart rate Qi, no noise, no abnormal lungs, strong abdominal muscles, bowel normal. Palace at the pubic bone on the four cross refers to the vulva with a small amount of secretions, limbs activity is still good. Physiological reflexes are hyperthyroidism, pathological reflex did not lead. Admission diagnosis: Postpartum tetanus (heavy). After admission to be routine treatment. On the third day after admission (May 11) at 6:35 am, the patient’s family member found that 10% chloral hydrate was poured into the infusion bottle (about 80% of the input chloral hydrate is 10%). At that time, patients were found to be asleep, heart rate 130 beats / min, blood pressure 120/80 mm Hg, breathing Li length, miosis, such as miliary, slow light reflex, eye inactivity, to help turn over without convulsions. Emergency stop the original infusion, speed into 10% glucose solution, tetracycline vein