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患者女性,36岁。慢性浅表性胃炎,心脏听诊无异常。患者误服胃复安50mg,3次/d,总量150mg。第3次服药后2h出现颈部强直性向右歪斜,右下肢亦强直性歪向右侧,牙关紧闭,口唇发绀,并出现频发多形性室早(附图)。神经系统检查无异常。给予洗胃、安定10mg肌注、10mg静注、供氧,并持续心电监护。4h后室早消失,6h后痉挛性斜颈亦消失。停用胃复安3d,改为5mg,3次/d,服用后再观察3d,未再出现上述现象,提示本例与胃复安过量有关。
Patient female, 36 years old. Chronic superficial gastritis, cardiac auscultation no abnormalities. Patients with gastric misgiving 50mg, 3 times / d, the total 150mg. 2h after the 3rd dose, the patient presented ankylosis of the neck to the right askew, the right lower extremity was also crooked to the right, the mouth was closed, the lips were cyanotic, and frequent pleomorphic ventricular premature beats (with photos). No abnormal neurological examination. To gastric lavage, stability and intramuscular injection of 10mg, 10mg intravenous, oxygen, and continuous ECG. 4h after the early disappearance of room, 6h spasmodic torticollis also disappeared. Metoclopramide to disable 3d, changed to 5mg, 3 times / d, after taking the observation 3d, did not appear again the above phenomena, suggesting that this case and the overdose of the complex.