患者,男,19岁。因间歇胸痛,咯血,右肺大片致密影,抗结核无效,多次抽出血性胸液,疑为胸膜间皮瘤,而行胸腔抽液充气造影。在床边抽出60ml 血性胸水后,即用原针头注入气体,当注入20ml 时,患者惊叫,角弓反张,四肢强直并反复抽搐,昏迷。两侧瞳孔均5mm,对光反应消失,面部多汗,血压 Patient, male, 19 years old. Due to intermittent chest pain, hemoptysis, right lung blockbuster shadow, anti-TB invalid, repeatedly pumping bloody pleural effusion, suspected pleural mesothelioma, while pleural fluid pumping contrast. 60ml bloody pleural effusion out of the bed, that is, the original needle into the gas, when injected into the 20ml, the patient exclaimed, angle arch anti-Zhang, straight and twitch limbs, coma. Pupil on both sides are 5mm, the reaction disappeared, the face sweating, blood pressure