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胃复安引起锥体外系副反应并非少见,而合并急性心肌损害者则属罕见,现将我院遇到的1例报告如下。患者,男,28岁,既往健康。因上腹部饱胀于15小时内口服胃复安总量120mg(江苏镇江第二制药厂生产)。服药2小时后出现颈项强直后仰,张口困难,四肢震颤,静坐不能等锥体外系症状,同时伴有心悸、胸闷症状。于1991年4月13日上午11时入院。体查:T 36.8℃、P107次/分、R19次/分,BP 16/10 kPa,神志清,无发绀,恐惧面容,颈项强直后仰,活动受限,巩膜无黄染,两侧眼球有水平震颤,两肺部(一),心率107次/分,律齐,各瓣膜
Metoclopramide caused extrapyramidal side effects is not uncommon, but the merger of acute myocardial damage is rare, now our hospital encountered a report as follows. Patient, male, 28 years old, formerly healthy. Due to the fullness of the upper abdomen within 15 hours of oral administration of metoclopramide 120mg (Jiangsu Zhenjiang second pharmaceutical production). Two hours after taking the medication neck stiffness backwards, mouth opening difficulties, tremor limbs, sit-in can not wait outside the extrapyramidal symptoms, accompanied by palpitations, chest tightness symptoms. Admitted to hospital at 11 am on April 13, 1991. Physical examination: T 36.8 ℃, P107 beats / min, R19 beats / min, BP 16/10 kPa, clear consciousness, no cyanosis, fear face, neck stiffness backwards, limited activity, scleral no yellow dye, Tremor levels, two lungs (a), heart rate 107 beats / min, law Qi, the valve