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患女,34岁,1988年10月4日入院。因“肺部感染”在本村使用青霉素80万u 肌注,2次/d,链霉素1.0肌注,2次/d,3d 后出现恶心、呕吐及全身震颤、位置性眩晕,睁眼为著,闭目减轻,遂转乡医院诊治。乡医院仍按“肺部感染”“美尼尔氏综合征”给予青霉素80万u 肌注2次/d,连用10d。因上述症状进一步恶化而转入本院.入院检查:T37℃,P86次/min,BP16.0/10.6kPa,体重55Kg.神志清楚、闭目平卧,表情淡漠。头颅五官(-)、听力正常,稍动头颈部则出现剧烈眩晕、全身不自主震颤、肌张力增强伴有明显之快速复合型眼颤,恶心及干呕.震颤发作时以四肢为著,上肢重于下肢,手指震颤类似“搓丸样”动作伴有快速的头颈部不自主地抖动,同时肌张力增高,被动屈伸肢体有“齿轮样强直”感。搀扶行走时启步困难,四肢僵直,头颈部直挺,步态慌张、剧烈眩晕、身体向右侧明显倾斜,同时伴有明显的复合型眼颤及全身不自主震颤。闭目平卧、头颈部不动时上述症状减
Female, 34 years old, admitted to hospital on October 4, 1988. Because of “pulmonary infection” in the village using penicillin 800000 u intramuscular injection, 2 times / d, streptomycin 1.0 intramuscular injection, 2 times / d, 3d after nausea, vomiting and general tremor, positional dizziness, eyes open as With the eyes closed, then transferred to the township hospital for treatment. Township hospital is still press “lung infection” “Meniere’s syndrome” to penicillin 800000 u intramuscular injection 2 times / d, once every 10d. Due to further deterioration of the above symptoms and transferred to the hospital Admission examination: T37 ℃, P86 times / min, BP16.0/10.6kPa, weight 55Kg. Consciousness, closed eyes, lying indifferent. Head and facial features (-), normal hearing, slight head and neck were severe dizziness, involuntary trembling of the body, enhanced muscle tension accompanied by significant rapid compound nystagmus, nausea and retching. Tremor occurs when the limbs, Upper extremity heavier than the lower extremity finger tremor similar “rub-like” action accompanied by rapid head and neck involuntary jitter, while muscle tension increased, passive flexion and extension limbs have a “gear-like tonic” feeling. Helping walking difficult start, stiff limbs, head and neck straight, gait panic, severe dizziness, the body significantly tilted to the right, accompanied by significant complex nystagmus and involuntary tremors. Closed eyes closed, head and neck motionless reduction of the above symptoms