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患者男性,30岁,工人。原有癫痫病20余年,均为大发作。长期服用苯妥英钠,苯巴比妥治疗,但不规则。1986年9月18日午后2时,自诉头痛。6时躺于床上似睡眠状,全身出汗。当晚8时,呼之不应,眼球凝视,四肢发软。至次晨8时,患者仍昏迷不醒,即急送当地医院,治疗半月后方出现眼球活动,并能扶着坐于床上,但不能言语,不知饮食,二便失禁,对外界刺激毫无反应。于同年10月10日转入我院,表现意识朦胧,无意识的呆视,阵发性恐惧样喊叫,躁动不安,简单的无目的的动作,而对环境全无感知,对周围刺激毫无反应。检查时除言语,肌力、运动、感觉等不合作外,余未引出异常神经系体征。
Male patient, 30 years old, worker. The original epilepsy more than 20 years, are major episodes. Long-term use of phenytoin, phenobarbital treatment, but irregular. September 18, 1986 at 2 pm, private prosecution headache. 6 lying in bed like sleep-like, sweaty body. 8 o’clock that night, call should not, eye stare, limbs soft. At 8:00 am, the patient remained unconscious, ie, he was sent to a local hospital for treatment. There was eye movement after half a month of treatment. He was able to sit on the bed but could not speak, I did not know diet, and I was incontinent. There was no reaction to external stimuli. In October 10 the same year into my hospital, the performance of consciousness dim, unconscious to stay, paroxysmal fear screaming, restless, simple purposeless movement, but no sense of the environment, there is no response to the surrounding stimuli . In addition to words of inspection, muscle strength, exercise, feeling uncooperative, I did not lead to abnormal neurological signs.