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阿托品应用范围很广,我科曾遇4例肌注阿托品0.5mg后,患者出现不同程度的烦躁,定向不全,呼吸抑制等中枢神经系统症状,现报导如下: 例1:女,46岁。拟诊“十二指肠球溃疡”。行纤维胃镜检查,术前肌注阿托品0.5mg,由于两餐未食,诉头晕。约1h后出现意识朦胧,躁动不安,谵妄,言语紊乱,步态不稳。查体:心率104次,两瞳孔0.5cm,光反射存在。疑为低血糖,即予10％葡萄糖40ml静注,观察15min无明显好转。急查血糖及电解质均在正常范围。给予一般补液,继续观察,于6h后神志转清。 例2:女,60岁。拟诊“慢性胃炎及慢
Atropine wide range of applications, our department had met 4 cases of intramuscular injection of atropine 0.5mg, patients with varying degrees of irritability, incomplete orientation, respiratory depression and other central nervous system symptoms are reported as follows: Example 1: Female, 46 years old. To be diagnosed “duodenal ulcer.” Line fiberoscopy, preoperative intramuscular injection of atropine 0.5mg, due to two meals not eaten, v. Dizziness. About 1h after the emergence of dim, restless, delirium, speech disorders, unsteady gait. Physical examination: heart rate 104 times, two pupils 0.5cm, light reflection exists. Suspected hypoglycemia, that is, to 10% glucose 40ml intravenous injection, observation 15min no significant improvement. Rapid check blood glucose and electrolytes are in the normal range. Give general rehydration, continue to observe, clear consciousness after 6h. Example 2: Female, 60 years old. To be diagnosed "chronic gastritis and slow