患者，女，23岁。被家人发现昏迷1小时来诊。既往体健。査体:血压130/90mmHg，皮肤湿冷，双瞳 孔直径2mm，双肺底少涵:湿啰音，心率90次/分, 律齐，无杂音，呼出气有蒜味。下列哪项检査对诊 断最重要(    )

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