Nam Byungkuk, Kim Hyokyung, Choi Younghee, Lee Hun, Hong Eun-Seog, Park Ji-Kang, Lee Ki-Man, Kim Yangho
Department of Neurology, Ulsan University Hospital, #290-3 Cheonha-Dong, Dong-Ku, Ulsan 682-060, South Korea.
Ind Health. 2004 Jan;42(1):83-7. doi: 10.2486/indhealth.42.83.
A 25-year-old man, a field operator in a petroleum refinery was found unconscious. He was exposed to hydrogen sulfide and presented with Glasgow Coma Score of 5, severe hypoxemia on arterial blood gas analysis, normal chest radiography, and normal blood pressure. On hospital day 7, his mental state became clear, and neurologic examination showed quadriparesis, profound spasticity, increased tendon reflexes, abnormal Babinski response, and bradykinesia. He was also found to have decreased memory, attention deficits and blunted affect, which suggested general cognitive dysfunction, but which improved soon. MRI scan showed abnormal signals in both basal ganglia and motor cortex, compatible with clinical findings of motor dysfunction.
一名25岁男性，是一家炼油厂的现场操作人员，被发现昏迷不醒。他接触了硫化氢，格拉斯哥昏迷评分为5分，动脉血气分析显示严重低氧血症，胸部X线片正常，血压正常。在住院第7天，他的精神状态变得清醒，神经系统检查显示四肢瘫痪、严重痉挛、腱反射亢进、巴宾斯基征异常和运动迟缓。还发现他有记忆力减退、注意力缺陷和情感迟钝，提示存在一般认知功能障碍，但很快有所改善。磁共振成像扫描显示基底节和运动皮层均有异常信号，与运动功能障碍的临床发现相符。
