袁××,男,19岁,住院号37385。畏寒、发热二天,伴抽搐四小时入院。二天前自觉畏寒,发热,头痛不适。入院前,因头痛加剧,伴有呕吐,旋即昏倒,四肢搐,并有尿失禁,半分钟后自行停止,发作四次,送我院诊治。体检:体温39..℃,脉搏129次/分,血压130/90毫米汞柱。神志朦胧,颈软,第一心音低钝,未引出病理反射。血片:发现恶性疟原虫环状体。入院诊断:脑型恶性疟疾。给予氯奎(分次共服2.5克)及对症治疗。次日,颈有抵抗,克氏,巴氏征阳性,心率90次/分,律不齐,可闻频繁阵发性间歇。夜间发生三次阿—斯氏综合征,胸外按摩后发作停止。第三天阿—斯氏综合征频繁发作。查心电图示:扭转型室 Yuan × ×, male, 19 years old, hospital number 37385. Chills, fever two days, with convulsions four hours admitted to hospital. Feeling chills, fever, headache and discomfort two days ago. Before admission, due to increased headache, accompanied by vomiting, fainting immediately, limbs and urinary incontinence, stop on their own after half a minute, episode four times, sent to our hospital for treatment. Physical examination: body temperature 39 .. ℃, pulse 129 beats / min, blood pressure 130/90 mm Hg. Obscure, neck soft, low first blunt heart sound, did not lead to pathological reflex. Blood film: Found Plasmodium falciparum ring. Admission diagnosis: cerebral malaria. Give chloroquine (sub-total service 2.5 grams) and symptomatic treatment. The next day, the neck has resistance, Kirschner, Papanicolaou positive, heart rate 90 beats / min, irregularities, can be heard frequent paroxysmal intermittent. Occurred three times at night, As-Si Syndrome, chest attack after the onset of massage to stop. On the third day, Alzheimer’s syndrome frequently attacks. Check the ECG shows: reverse type room