患者,男,45岁。三年前开始手颤抖,劳累、饮酒后加重。皮肤暴露部位发痒、起疱、逐渐变为紫黑色。1979年8月24日,突感腹部不适、恶心、呕吐咖啡样胃内容物。尿桔红色。无头痛、发热,很快进入昏迷。某医院诊断为“病毒性脑炎”。由静脉给予高渗葡萄糖及甘露醇脱水,次日醒来。 Patient, male, 45 years old. Three years ago began shaking hands, tired, increased after drinking. Exposed areas of the skin itchy, blistering, and gradually become purple black. August 24, 1979, sudden sensation of abdominal discomfort, nausea, vomiting, coffee-like stomach contents. Orange urine red. No headache, fever, quickly into a coma. A hospital diagnosed as “viral encephalitis.” By intravenous hypertonic glucose and mannitol dehydration, wake up the next day.