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例1:周某,男,21岁,工人,内科门诊病人。因上腹部疼痛于1985年9月18日来门诊看病。医生给开阿托品0.5毫克肌注,给药后15分钟左右,腹部疼痛缓解。但病人出现狂躁不安,心悸,口干,头昏眼花,四肢无力,体温增加,行走重心不稳,吞咽困难,小便不利。既往体健。体查:T38.4℃,P140/分,R24次/分 BP120/70mmHg,躁动不安,面部潮红,全身皮肤干燥,结膜充血,无出血点,双侧瞳孔等圆散大,其直径为6毫米大小,对光反射迟钝。颈软,两肺清晰,心率140次/分,律齐,各瓣膜区未闻及杂音。诊断为阿托品中毒。经留观察室治疗,肌注新斯的明0.5毫克,第二天痊愈出院。例2:刘某,男,35岁,农民,住院号4325号。因反复胸闷一月余,于1985年9月6日以病毒性心肌炎收住院。9月19日晚7时许,突发左下腹绞痛,考虑为输尿管结石,给其肌注阿托品1毫克,给药后约10分钟,病人出现
Example 1: Zhou, male, 21 years old, workers, medical outpatient. Due to upper abdominal pain in September 18, 1985 to the clinic. Doctors to open atropine 0.5 mg intramuscular injection, 15 minutes after administration, abdominal pain relief. However, patients with manic anxiety, palpitations, dry mouth, dizziness, weakness, increased body temperature, walking center of gravity, swallowing difficulties, urine negative. Past physical health. Physical examination: T38.4 ℃, P140 / min, R24 times / min BP120 / 70mmHg, restlessness, facial flushing, dry skin, conjunctival hyperemia, no bleeding, bilateral pupils and other large circles, the diameter of 6 mm Size, slow reflection of light. Neck soft, clear lungs, heart rate 140 beats / min, law Qi, the valve area has not heard of noise. Diagnosis of atropine poisoning. Observed by the observation room treatment, intramuscular injection of neostigmine 0.5 mg, discharged the next day. Example 2: Liu, male, 35 years old, farmer, hospital number 4325. Due to repeated chest tightness in more than a month, on September 6, 1985 admitted to hospital with viral myocarditis. At about 7 o’clock on the night of September 19, a sudden left lower quadrant colic was considered for ureteral calcification, giving it a intramuscular injection of 1 mg of atropine and the patient appeared about 10 minutes after administration