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男,30岁,1984年5月8日因腹痛腹泻就诊。体查:体温37.5℃,血压120/70,心肺正常,肝脾未触及,脐周有压痛,无反跳病,下肢无异常。白细胞12600,小便常规阴性,尿淀粉酶16u,大便粘液少许,白细胞几粒,诊断为急性肠炎。肌注庆大霉素8万u/每天2次,阿托品0.3mg,复合维生素B溶液15ml,每天3次。上午肌注庆大霉素2小时后,患者自觉全身肌肉紧张。四肢活动不灵活,关节伸屈有一定阻力,步态幅度减少。下午4时再肌
Male, 30 years old, May 8, 1984 due to abdominal pain and diarrhea treatment. Physical examination: body temperature 37.5 ℃, blood pressure 120/70, normal heart and lung, liver and spleen not touched, umbilical weeks tenderness, no rebound disease, lower limbs without exception. WBC 12600, urinary routine negative, urinary amylase 16u, a little stool mucus, white blood cells a few tablets, the diagnosis of acute enteritis. Intramuscular injection of gentamicin 80,000 u / day 2 times, atropine 0.3mg, 15ml vitamin B solution, 3 times a day. 2 hours after intramuscular injection of gentamicin, the patient consciously muscle tension. Limb movements are not flexible, joint flexion has some resistance, gait amplitude decreased. Muscle at 4 o’clock in the afternoon