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患者,28岁,干部。因突然四肢不能活动于1997年11月7日急诊人院。病人于40分钟前因牙痛肌注平痛新(山东新华制药厂生产,批号950326—l)20mg。注射后15分钟左右病人感觉全身无力,细汗,四肢有蚁行感觉。既往史:健康,无过敏史。半年前因牙痛曾服过平痛新2片,回忆当时有全身难受的感觉井无在意。查体:体温36.8℃.脉膊97次/分,呼吸 19次/分,血压12/8kPa。意识清,急性病容,烦躁不安,双侧瞳孔等大等圆,对光反射存在,眼裂双侧等大,伸舌无偏斜,颈软.膝腱反射未引出,肌张力降低,四肢肌力Ⅱ级.温觉减退。其余均正常。实验室检查:血红蛋白110g/L,血白细胞8.7×10~9/L,中
Patient, 28 years old, cadre. Due to sudden limbs can not be active in November 7, 1997 emergency hospital. 40 minutes ago because of toothache patients with intramuscular pain new (Shandong Xinhua Pharmaceutical Factory production, batch number 950326-l) 20mg. About 15 minutes after injection, the patient feels whole body weakness, fine sweat, feeling of ants with limbs. Past history: healthy, non-allergic history. Six months ago because of toothache had served two new flat pain, memories of the feeling of general feeling uncomfortable and carefree. Physical examination: body temperature 36.8 ℃. Pulse 97 times / min, breathing 19 times / min, blood pressure 12 / 8kPa. Consciousness, acute illness, irritability, bilateral pupil and other large circle, the presence of light reflexes, both sides of the occipital and other large, extensor no bias, neck soft, knee tendon reflex did not lead to decreased muscle tone, limb muscle Grade Ⅱ. Feeling decreased. The rest are normal. Laboratory tests: hemoglobin 110g / L, white blood cells 8.7 × 10 ~ 9 / L, in