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患者男性,66岁.于1983年6月6日因生气一次性口服氯丙嗪100mg后出现意识障碍,经当地医院洗胃,静点甘露醇及牛黄清脑液等治疗,意识当天转清.意识清醒后自觉头昏、乏力及上腹部不适.于1993年6月12日出现腹痛、腹泻、腹胀及不排气,腹痛呈持续性胀痛,腹泻4～6次/d,呈稀糊样,无脓血,不伴呕吐,随转我院.查体:T38℃,P93次/min,R25次/min,BP15/9kpa.神志清楚,查体合作,巩膜无黄染,心肺无异常,腹部膨隆,无压痛及反跳痛,肝脾未触及,无移动性浊音,叩鼓音,肠鸣音消失.实验室检查:血常规Hb140g/L,WBC 2.4×10~9/L,N 0.78,L 0.22;血K~+4.1mmol/L,Na~+144 mmol/L,Cl~-102 mmol/L,Co_2-CP19 mmol/L.
Male patient, age 66. On June 6, 1983 due to anger one time oral chlorpromazine 100mg after disturbance of consciousness, gastric lavage by the local hospital, intravenous injection of mannitol and bezoar brain fluid and other treatment, awareness of the day clear. Conscious consciousness dizziness, fatigue and upper abdominal discomfort .In June 12, 1993 appeared abdominal pain, diarrhea, abdominal distension and non-exhaust, abdominal pain was persistent pain, diarrhea 4 ~ 6 times / d, was thin paste-like , No sepsis, no vomiting, with the transfer to our hospital. Physical examination: T38 ℃, P93 times / min, R25 times / min, BP15 / 9kpa. Consciousness, physical examination cooperation, scleral no yellow dye, Abdomen bulging, no tenderness and rebound tenderness, liver and spleen not touched, no dullness of movement, knocking drum sounds, bowel sounds disappear. Laboratory tests: blood Hb140g / L, WBC 2.4 × 10 ~ 9 / L, N 0.78 , L 0.22; blood K ~ + 4.1mmol / L, Na ~ + 144mmol / L, Cl ~ -102mmol / L, Co_2-CP19mmol / L.