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[病例]男,78y.因慢性支气管炎急性加重期,肺心病于1998-02-15入院.既往无精神病、癫(疒间)及类似家族史.体检:T38.3℃.P145 beats/min,R35 beats/min,BP 135/75 mmHg(18.0/10.0 kPa).意识清,唇及舌发绀,双肺有干湿啰音,HR 145beats/min,心律不齐,有早搏,双下肢水肿.入院后给予吸氧、扩血管、强心、补液等治疗,并iv gtt乳酸环丙沙星(ciprofloxacin,CPFX)(无锡市第七制药厂,批号:970912-2,每瓶0.2g/100 ml)0.2g,iv gtt过程中出现右侧面部痉挛,语言不能,颈部向右侧扭转,双上肢不自主节律性抖动,双下肢抖动较轻,未引起注意.下午再次iv gtt CPFX 0.2g,约15min后重复出现上述症状,立即停用CPFX,iv山莨菪碱10mg,安定5mg,10min后症状消失.改用氨苄青
[Case] Male, 78y. Due to the acute exacerbation of chronic bronchitis, pulmonary heart disease was admitted on February 15, 1998. There was no previous psychosis, epilepsy and other similar family historys.Physical examination: T38.3 ℃ .P145 beats / min , R35 beats / min, BP 135/75 mmHg (18.0 / 10.0 kPa) .It was clear, with cyanosis of lips and tongue, wet and dry rales of both lungs, HR 145beats / min, arrhythmia, premature beats, edema of both lower extremities. Admitted to hospital after admission oxygen, vasodilator, cardiac, rehydration and other treatment, and iv gtt ciprofloxacin (ciprofloxacin, CPFX) (Wuxi seventh pharmaceutical factory, batch number: 970912-2, 0.2g / 100 ml ) 0.2g, iv gtt appeared during the right facial spasm, the language can not, the neck to the right to reverse the involuntary rhythm of both upper limb jitter, lower extremity jitter less, did not pay attention to the afternoon again iv gtt CPFX 0.2g, About 15min after the recurrence of the above symptoms, immediately disable CPFX, iv anisodamine 10mg, stability and 5mg, 10min after the symptoms disappeared. Use ampicillin