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9.胃复安引起锥体外系反应5例(浙医一院神经科张佩利)胃复安又名“灭吐灵”,一般认为该药毒性低,对其所致的锥体外系反应常认识不足,造成误诊的屡见不鲜。侧1:姚××,女,19岁。因上腹饱胀,服胃复安2次(20mg)后,觉右下肢僵硬,步履困难。某医院诊断“伤筋”治疗无好转。继之出现不自主的头向后仰,颈部强直,两眼阵阵上翻,意识清楚。检查:面容呆板,头向后仰,两眼上视,斜方肌及颈后肌肉紧张,四肢张力稍增高。给肌
9 metoclopramide caused extrapyramidal reactions in 5 cases (Zhejiang Medical College Hospital neurology Zhang Peili) Wei Fu Fu, also known as “off Tu Ling”, generally believed that the drug toxicity is low, its cones caused by extrapyramidal reactions often know Insufficient, resulting in misdiagnosis of the common. Side 1: Yao × ×, female, 19 years old. Due to the upper abdomen fullness, serving Fufang 2 (20mg), the right lower limb stiffness, walking difficulties. A hospital diagnosis of “injury tendons” no improvement in treatment. Followed by involuntary head backwards, neck stiffness, his eyes fluttering up, conscious. Check: face dull, head back, eyes on the eyes, trapezius and neck muscle tension, limb tension slightly increased. Give muscle