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目的:探讨应用山莨菪碱引起精神症状的原因及相关因素。方法:回顾性分析近5 a来我院收治7例应用山莨菪碱引起精神症状的病例,分析原因及相关因素。结果:1例糖尿病肾病、肾功能轻度不全伴电解质紊乱老年患者;1例感染性疾病伴电解质紊乱老年患者;1例肝硬化、肝功能轻度不全患者;1例慢性肾炎、肾功能轻度不全患者;3例临床无阳性发现者,应用山莨菪碱均引起精神症状。结论:详细询问病史,注意发病特点,结合辅助检查明确诊断,早期发现及时治疗,避免误诊。
Objective: To explore the causes and related factors of anisodamine-induced psychiatric symptoms. Methods: A retrospective analysis of the past 5 years to our hospital admitted to the application of anisodamine in 7 cases of psychiatric symptoms, analysis of the causes and related factors. 1 case of diabetic nephropathy, mild renal dysfunction with electrolyte imbalance in elderly patients; 1 case of infectious diseases with electrolyte imbalance in elderly patients; 1 case of cirrhosis and liver dysfunction patients; 1 case of chronic nephritis, mild renal function Inadequate patients; 3 cases were found no positive clinical application of anisodamine caused mental symptoms. Conclusions: Detailed history, pay attention to the characteristics of the disease, combined with the auxiliary diagnosis of a clear diagnosis, early detection of timely treatment, to avoid misdiagnosis.