1病例介绍患者女,89岁,因右股骨粗隆间骨折内固定术后于2013年11月初入院,于11日出现嗜睡,左侧巴彬斯基征阳性,12日查血钾4.3 mmol/L,钠130 mmol/L,氯93 mmol/L;脑CT示右侧基底节脑梗死。予丹参活血化淤,醒脑静改善脑代谢对症支持治疗,3 d后患者出现中度昏迷,双侧球结膜水肿,予甘露醇250 ml脱水降颅压,当天下午患者肠胀气明显,急查血钾2.9 mmol/L,钠112 Case description A female patient, 89, was admitted to hospital early November 2013 after internal fixation of the right femoral intertrochanteric fractures. She developed drowsiness on the 11th and positive Babsky’s syndrome on the left. On the 12th, her potassium level was 4.3 mmol / L, sodium 130 mmol / L, chlorine 93 mmol / L; cerebral CT showed right basal ganglia infarction. To Danshen blood stasis, Xingnaojing improve cerebral metabolic symptomatic supportive treatment, 3 days after the patient showed moderate coma, bilateral conjunctival edema, to mannitol 250 ml dehydration reduce intracranial pressure, flatulence on the afternoon of patients with obvious, acute check Blood potassium 2.9 mmol / L, sodium 112