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托品酰胺眼药水为眼科常用的新型扩瞳剂。本文报道5例点用本品后出现副作用。 例1女,56岁。扩瞳找裂洞。既往无高血压、冠心病史。点用本品15分钟后出现头晕恶心、站立不稳。体位改变后头晕加重。P80次,BP 24/12kPa。立即嘱患者平卧位,其自觉症状逐渐好转,半小时后上述症状消失,P70次,BP 20/11kPa。 例2女,43岁。扩瞳验光。无高血压病史,点用本品5分钟1次,连续3次,患者即出现头晕、恶心、抽搐。P90次,BP 24/12kPa。立即嘱患者平卧位。肌注安定10mg后,症状逐渐好转,P70次,BP 19/11kPa,20分钟后患者无任何不适。 例3女,16岁。扩瞳检查眼底。点用本品15分钟后患者出现心慌、轻度抽搐、头晕、恶心。P100次,BP 20/11kPa,立即嘱患者平卧位,肌注安定10mg,自觉症状好转。P80次,BP 16/11kPa,30分钟后患者无不适,追问病史,有高血压家族史。
Tropsch amide eye drops for the new ophthalmic commonly used dilation agent. This article reports the use of 5 cases of this product side effects. Example 1 Female, 56 years old. Expand the pupil to find the hole. No previous history of hypertension, coronary heart disease. Point 15 minutes after using this product dizziness nausea, standing instability. Postural changes dizziness worsened. P80 times, BP 24/12 kPa. Immediate Zhu Huanzhe supine position, the symptoms gradually improved, half an hour later the symptoms disappear, P70 times, BP 20 / 11kPa. Example 2 Female, 43 years old. Dilatation of optometry. No history of hypertension, point the goods for 5 minutes 1 time, 3 times in a row, the patient showed dizziness, nausea, convulsions. P90 times, BP 24 / 12kPa. Immediate Zhu Huanzhe supine position. After intramuscular stability 10mg, the symptoms gradually improved, P70 times, BP 19 / 11kPa, 20 minutes after the patient without any discomfort. Example 3 Female, 16 years old. Dilated pupil examination fundus. Point 15 minutes after using this product, patients with palpitation, mild convulsions, dizziness, nausea. P100 times, BP 20 / 11kPa, Zhu Huanzhe supine patients immediately, intramuscular stability 10mg, subjective symptoms improved. P80 times, BP 16 / 11kPa, 30 minutes after the patient without discomfort, history, history of hypertension and family history.