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1 病例介绍患者男,72岁。因自服中药后出现腹痛、腹泻水样便,伴呕吐2天,晕阙1次而入院。患者于年前起出现大便干结,每5~7天排便1次,2天前因此自服中药后。出现腹痛、腹泻水样便,每天10余次,伴呕吐,食欲差,乏力。既往体质较差,无高血压、冠心病、风心病及抽搐史。入院体查:体温36℃,脉博102次/分,呼吸24次/分,血压90/68mmHg,神志清,脱水貌,皮肤弹性差,眼窝稍下陷。双肺可闻小量痰鸣音。心率102次/分,心律不齐,早搏每分钟10~15次,心音较低钝。肠鸣音弱。四肢肌力Ⅲ级。病理反射阴性。心电图示窦性心动过速,频发性多源性
1 case description Patient male, 72 years old. Due to self-serving Chinese medicine abdominal pain, diarrhea, watery stool, with vomiting 2 days, halo Que 1 and admission. Patients began to dry stool years ago, every 5 to 7 days defecation 1, 2 days ago since serving their own medicine. Appear abdominal pain, diarrhea watery stool, more than 10 times a day, with vomiting, poor appetite, fatigue. Past physical health, no hypertension, coronary heart disease, rheumatic heart disease and convulsions history. Admission physical examination: body temperature 36 ℃, Pulse Bo 102 times / min, breathing 24 times / min, blood pressure 90/68 mmHg, clear consciousness, dehydration appearance, poor skin elasticity, eye socket slightly sag. The lungs can smell a small amount of phlegm sounds. Heart rate 102 beats / min, arrhythmia, premature beats 10 to 15 times per minute, lower heart sound blunt. Bowel sounds weak. Limb muscle strength Ⅲ grade. Negative pathological reflex. ECG shows sinus tachycardia, frequent multi-source