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胃复安为临床常用止吐药,可以引起神经系统副作用,现将我科用胃复安在正常剂量范围内所致的锥体外系综合征1例报道如下。 患儿,女,10岁,因反复呕吐6～7次,来院就诊,拟诊急性胃炎,肌肉注射胃复安,1次8mg及静脉输液,留院观察,约2小时后出现颈部呈痉挛性斜颈、两眼向上凝视,舌外伸、流涎、语言不清。体检:体重28kg,体温,脉搏,血压均正常,无意识障碍,其他神经系统检查无异常。诊断为胃复安不良反应,静脉推注阿托品0.5mg 2次予以拮抗及输液等对症处理,约3小时后症状消失,两眼能闭合,眼球活动正常,语言清晰,舌活动正常。
Metoclopase for the clinical commonly used antiemetic drugs, can cause side effects of the nervous system, now our department with metoclopramide in the normal dose range caused by extrapyramidal syndrome in 1 case reported below. Children, female, 10 years old, due to repeated vomiting 6 to 7 times to the hospital for treatment, diagnosis of acute gastritis, intramuscular metoclopramide, a 8mg and intravenous infusion, hospital stay, about 2 hours after the neck spasms Sexual torticollis, eyes staring upward, tongue extension, salivation, unclear language. Physical examination: body weight 28kg, body temperature, pulse, blood pressure were normal, unconsciousness, other nervous system examination was normal. Diagnosed as adverse reactions to metoclopramide, intravenous injection of atropine 0.5mg 2 times to be antagonistic and infusion symptomatic treatment, about 3 hours after the symptoms disappear, the two eyes can be closed, normal eye activity, language clarity, tongue activity is normal.