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盐酸异丙嗪(Promethazinum)又名非那根,是临床常用的抗过敏药物。医护人员应用非那根时仅注意其有嗜睡副反应,而对其狂躁性副反应则认识不足。用药一旦出现狂躁性副反应时,易发生误诊,造成处理不当。笔者在临床护理工作中就遇到3例,现报告如下。例1,女,45岁,本院职工,1984年8月21日因患胃肠型感冒,出现恶心呕吐,当即给补液并肌注非那根25mg以镇静止呕。半小时后,病人出现胸闷、烦躁不安、全身紧束感,但心跳、呼吸无明显改变。体检:神志清楚,能对答,BP12/9kPa心肺听诊正常。考虑为非那根引起的精神兴奋性副反应,即给氧、肌注安定10mg,约15分钟后,上述症状消失,并逐渐入睡。病人睡醒后感觉全身乏力,但无其它不适,自述发作时神志清楚,仅觉心
Promethazin hydrochloride (Promethazinum), also known as non-root, is commonly used in clinical anti-allergy drugs. Medical staff when using non-that only pay attention to the side effects of narcolepsy, and its manic side effects are not fully understood. Medication in the event of manic side effects, prone to misdiagnosis, resulting in improper handling. The author encountered three cases in clinical nursing work, the report is as follows. Example 1, female, 45 years old, hospital staff, August 21, 1984 suffering from gastrointestinal influenza, nausea and vomiting, immediately give fluid and intramuscular injection of non-root 25mg to calm and vomit. Half an hour later, the patient chest tightness, irritability, body tightness, but the heart rate, no significant change in breathing. Physical examination: conscious, able to answer, BP12 / 9kPa cardiopulmonary auscultation normal. Consider the psychoactive side effects caused by phenanthrene, namely, oxygen, intramuscular injection of 10mg, about 15 minutes later, the symptoms disappear, and gradually fall asleep. After waking up, the patient feels malaise, but no other discomfort