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徐××,男性,22岁,工人,因癫痫发作后呼吸困难、紫绀、咯泡沫样血痰于1978年4月10号急诊入院。入院前一天傍晚癫痫发作而从自行车上跌下,约3小时后又同样发作跌倒在家中,频频抽搐,约3～4分钟停止,继而呼吸急促,咳嗽,吐泡沫痰。查体:呈急性病容,呼吸窘迫,口唇紫绀,咯大量泡沫样血痰,间有鲜血从口鼻溢出,心率120次/分,律齐,无病理性杂音,两肺闻及中等到大水泡音,诊断为“左心衰竭急性肺水肿”。给予吸氧(通过75%酒精)、强心、利尿等急救处理未见著效,继作四肢结扎、静滴地塞米松等直至次日晨症状方有改善,肺部水泡音减少,
Xu × ×, male, 22 years old, worker, admitted to hospital for emergency on April 10, 1978 due to dyspnea, cyanosis, and foamy blood phlegm after seizures. The day before admission, epileptic seizures and fall from the bike about 3 hours later the same episode fell home, frequent convulsions, about 3 to 4 minutes to stop, then shortness of breath, cough, spit foam sputum. Physical examination: acute disease, respiratory distress, cyanosis of the lips, slightly a lot of foam-like bloody sputum, between the blood spilled from the nose and mouth, heart rate 120 beats / min, law Qi, no pathological noise, , Diagnosed as “acute left heart failure pulmonary edema.” Give oxygen (through 75% alcohol), cardiac, diuretic and other first aid treatment was not effective, followed by limbs ligation, intravenous dexamethasone and other symptoms until the next morning had improved, reduced lung blisters,