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1病例患者,女,82岁。因发热、咳嗽、咽痛来院就诊。查体:体温38.7℃,心率72次/min,呼吸27次/min,律齐、腹软、腹部无压痛,其余均为(-)。拟考虑为急性上呼吸道感染,第1天给予克林霉素注射液0.6 g,bid,静滴;其症状未见好转,第2天给予左氧氟沙星注射液,0.2 g,bid,静滴,当药物输完后约10 min,患者出现行走、持物困难、双手静止时震颤明显,呈进行性加重,口周肌肉伴不自主抖动伴有头昏,
1 case patients, female, 82 years old. Due to fever, cough, sore throat to the hospital. Physical examination: body temperature 38.7 ℃, heart rate 72 beats / min, breathing 27 beats / min, law Qi, abdomen soft, abdominal tenderness, the rest were (-). To be considered acute upper respiratory tract infection, clindamycin 0.6 g, bid, intravenous infusion was given on the first day; the symptoms did not improve, and on the second day levofloxacin injection, 0.2 g, bid, About 10 min after the delivery, the patient appeared walking, holding things difficult, his hands tremor was obvious, was progressive increase in perioral muscles with involuntary jitter accompanied by dizziness,