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【病例】女,71a,1997年11月19日因左喉室肿物入院.入院时查体:BP14.6/10.0kPa,P78 beats/min,R19beats/min,神清.11月23日拟行直达镜下左喉室肿物摘除术.术前im鲁米那0.2g,sc阿托品0.5mg,并以2%盐酸地卡因作为表麻药物,喷地卡因2次后,患者意识淡漠,神志不清,双侧瞳孔对光反射弱,瞳孔基本等大,BP25.3/14.6kPa.立即im利血平1mg,20min后神志恢复,主诉胸闷,心电图示室性早搏,其他未见异常,暂缓手术,送病房吸氧并继续观察.次日查体:BP23.9/13.3kPa,双瞳等大等圆,对光反射灵敏,神志清楚.颈软,无抵抗,律齐.予卡托普利12.5mg,bid;11月25日测BP17.9/8.6kPa,至12月4日血压稳定,无其他异常;
[Case] female, 71a, November 19, 1997 due to left throat room admission. Admission examination: BP14.6 / 10.0kPa, P78 beats / min, R19beats / min, Shen Qing. Line directly under the left throat luminal tumor removal surgery preoperative im luminal 0.2g, sc atropine 0.5mg and 2% lidocaine hydrochloride as ephedrine drugs, spraying cocaine 2 times, the patient apathetic , Unconsciousness, bilateral pupil light reflection weak, pupil basic and other large, BP25.3 / 14.6kPa. Immediate im reserpine 1mg, 20min consciousness recovery, complained of chest tightness, ECG showed premature ventricular contractions, the other without exception, Suspension surgery, ward oxygen and continue to observe the next day examination: BP23.9 / 13.3kPa, double pupil and other large circle, sensitive to light reflection, consciousness clear neck soft, no resistance, law Qi. Pulimen 12.5mg, bid; November 25 measured BP17.9 / 8.6kPa, to December 4 blood pressure stability, no other abnormalities;