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患者,男,32岁。因双侧腋臭于1995年2月13日下午5时来我院就诊。拟行高频电灼治疗。予以0.25％利多卡因40mL作双侧腋下局部浸润麻醉(两侧各20mL)。单侧麻醉行将结束时(约用药18mL,相当于利多卡因0.045g),患者出现中枢神经抑制症状,先是目光呆滞,反应迟钝,舌僵硬,言语不清,继而面色苍白,四肢冰凉,大汗淋漓,意识丧失。即停止注射,给氧,按人中,合谷穴位。患者随即出现双手握拳,四肢抽搐,胡言乱语,大喊大叫等精神狂燥症状。给予安定、肾上腺素肌肉注射,症状未能控制。又给予氯丙嗪、异丙嗪肌肉注射,约2h后,患者逐渐安静。至次日上午8时恢复正常,患者既往无药物食物过敏史,亦无脑外伤发
Patient, male, 32 years old. Due to bilateral underarm odor in February 13, 1995 at 5 pm to our hospital. The proposed high-frequency electrocautery treatment. To 0.25% lidocaine 40mL for bilateral subaxillary local infiltration anesthesia (20mL on both sides). Unilateral anesthesia is about to end (about medication 18mL, equivalent to lidocaine 0.045g), patients with central nervous system depression symptoms, first glazed dull, unresponsive, stiff tongue, slurred speech, then pale, cold limbs, sweating Dripping, loss of consciousness. That is, stop injection, oxygen, according to people, Hoku points. Patients immediately appear fist hands, limbs twitch, nonsense, shouting and other mental symptoms. Give stability, adrenaline intramuscular injection, the symptoms failed to control. Give chlorpromazine, promethazine intramuscular injection, about 2h, the patient gradually quiet. To return to normal at 8:00 the next day, the patient had no history of drug allergy food, no brain injury