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笔者遇1例鞘内误入大剂量链霉素,用生理盐水置换脑脊液而抢救成功,报告如下。患者男,23岁,素健,1971年8月因疑为结核性脑膜炎,经鞘内注射硫酸链霉素0.5克,半小时后头痛加重伴呕吐,2小时后昏迷,惊厥,频发抽搐伴瞳孔缩小,血压160~190/90~110毫米汞柱。遂发现误将0.5克链霉索作为50毫克注入,即行抢救。病人取侧卧位行腰穿,拔出针芯时脑脊液喷出,立即堵住针孔止喷,改接上连有输液胶管的空注射
I encountered a case of intrathecal mistaken high-dose streptomycin, replaced with saline and cerebrospinal fluid rescue success, the report is as follows. Male patient, 23 years old, prime health, in August 1971 due to suspected tuberculous meningitis, intrathecal injection of streptomycin sulfate 0.5 g, half an hour after the headache aggravated with vomiting, 2 hours after coma, convulsions, frequent convulsions With miosis, blood pressure 160 ~ 190/90 ~ 110 mm Hg. Then mistakenly 0.5g streptomycin injection as 50 mg, the line rescue. Patients take the lumbar position lumbar puncture, pull out the needle when the cerebrospinal fluid ejected immediately stop the pinhole only spray, connected to the even infusion of infusion tube empty injection