Nervous system toxicity of 2 cases of misdiagnosis of the disease.doc

 PAGE \* MERGEFORMAT 4 Nervous system toxicity of 2 cases of misdiagnosis of the disease [Keywords:] nervous system, toxic diseases, misdiagnosis A case report Example 1: male patients, aged 24, past the body and health, to “drink of consciousness, convulsions 6 hours,” admitted to hospital, the patient friend on behalf of the state: 46 patients to drink liquor 600ml, “red wine 100ml” symptoms after drinking to early morning (about 6 hours after drinking in patients with convulsions, foaming at the mouth, and call not, incontinence, urgency to our hospital. examination: moderate coma, bilateral mydriasis, a diameter of about 6mm, light reflex, corneal reflex, neck without resistance, flaccid paralysis of the limbs. meningeal irritation sign was not elicited, both lower extremities Pakistan’s sign (+, skin, mucous membrane was no bleeding, heart, lung, abdominal not seen the four diagnostic exception. auxiliary examination: Blood RT, urinary RT, head CT, blood biochemical examination, liver and renal function were normal. by “alcoholism” treatment, given gastric lavage, hypertonic glucose bolus, naloxone and other drugs, symptoms not relieved, restless. then give symptomatic, supportive treatment. a lot of fluid 5000ml / day, blood pressure, ice caps, nutritional support, prevention of respiratory tract, urinary tract infection, protect the gastrointestinal tract functions. about 8 days, the patient friends discovered that the patients drink “wine” turned out to be from the rat poison with (containing tetramine, specific concentration is unknown. continue to support the treatment, 10 patients in future awareness turned clear, no abnormal neurological examination, 15 after discharge. follow-up 18 months, the patient does not appear sequelae and complications. Example 2: male patients, aged 32, past the body and health, to “limb weakness for 6 months” admission, the patient Readme: 6 months ago no obvious incentive to the distal limbs, weakness, had by