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患儿男,三岁半。以站立不稳半天,呕吐2次为主诉于1986年8月14日入院。患儿于住院的当天上午11时许误服入蓖麻叶7大张(约21g)的水煎剂。过3～4个小时午睡起床后即觉站立不稳,相隔1小时后呕吐2次,吐出胃内容物,无腹痛,大小便正常。既往体健,无类似发作病史。体检:呼吸24次/分,脉搏120次/分。站立不稳,步履蹒跚,易跌倒。双手震颤。双跟睑下垂,视物不清,眼球呈水平位震颤,瞳孔等大。颈软。心肺(一)、肝脾(一)。指鼻试验阳性,跟膝试验阳性。因症状出现突然,其神志清,
Children male, three and a half years old. To stand unsteady half-day, vomiting twice as the main complaint on August 14, 1986 admission. The children on the day of hospitalization 11 o’clock mistakenly served seven leaves of castor leaves (about 21g) decoction. After 3 to 4 hours nap to wake up and feel unstable, separated by 1 hour vomiting 2 times, spit out the stomach contents, no abdominal pain, normal urine. Past physical health, no history of similar attacks. Physical examination: breath 24 times / min, pulse 120 beats / min. Stable, stumble, easy to fall. Tremor with both hands. Double with ptosis, blurred vision, the eye level was tremor, pupils and other large. Neck soft. Heart and lung (a), liver and spleen (a). Finger nose test positive, knee test positive. Suddenly because of symptoms, its clear mind,