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洪某某,男,54岁,农民。主因外伤感染引起破伤风,牙关紧闭4天,全身抽搐2天于1991年9月12日入院。诊断为外伤性破伤风。给予破伤风抗毒素、灭滴灵、安定、鲁米那等治疗。翌日出现发热(38℃),腹胀,肠鸣音弱。8天未解大便。先给予开塞露2枚塞肛,大便未解。予新司的明0.5mg双侧足三里穴位注射,肠鸣音虽稍转强,但腹胀未减。后又连续用肥皂水灌肠2次,仍不大便,腹胀益甚。查血清钾4.3mmol/L,腹部X线透视见结肠明显积气,
Hong Moumou, male, 54 years old, farmer. The main cause of tetanus due to a traumatic infection was that the jaws were tight for 4 days and the body was convulsed for 2 days on September 12, 1991. Diagnosis is traumatic tetanus. Give tetanus antitoxin, metronidazole, stability, luminal and other treatments. The next day there was fever (38°C), bloating, and weak bowel sounds. 8 days did not resolve the stool. Give an ejaculation to the anus, and the stool is unsolved. To the new Division of 0.5mg bilateral Zusanli acupoint injection, bowel sounds although slightly stronger, but the abdominal distension is not reduced. After continuous use of soap and water enema 2 times, still not defecate, bloating benefit even. Check the serum potassium 4.3mmol/L, abdominal X-ray see the obvious gas accumulation in the colon,