1 临床资料 男38岁,因头部外伤后呼吸困难4 h入院。患者4 h前被人打伤头面部,当时感头痛头昏,意识清楚,能随意运动,无昏迷,恶心,呕吐等症状,在当地卫生院诊断为Ⅰ级颅脑损伤。给予输液(林格氏液500 ml+林可霉素2.4 g)治疗,当输入约200 ml时,患者感四肢无力,心慌,说话稍费力,随后渐无语言能力,呈昏睡状,口角涎液增多,呼吸困难,痰鸣,医生怀疑 1 clinical data Male 38 years old, 4 days after admission due to headache and breathing difficulties. Patient was injured 4 hours before the head and face, was feeling dizziness, consciousness, freedom of movement, no coma, nausea, vomiting and other symptoms, the diagnosis of grade I in the local hospital head injury. Infusion (Ringer’s solution 500 ml + lincomycin 2.4 g) treatment, when the input of about 200 ml, the patient feeling limb weakness, palpitation, speak a little effort, then gradually no language skills, was drowsy, increased salivary fluid Dyspnea, phlegm, the doctor suspected