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目的:探索甲氧普胺致锥体外系反应的诊断及误诊原因。方法:回顾福建省武警边防医院2000-01/2009-01收治的甲氧普胺致锥体外系反应误诊的12例临床资料。结果:误诊为病毒性脑炎7例,癫痫4例,高热伴惊厥1例。结论:详细询问病史,特别是用药史,是避免甲氧普胺致锥体外系误诊的重要措施。
Objective: To explore the diagnostic and misdiagnosis reasons of extrapyramidal reaction induced by methythrepamine. Methods: The clinical data of 12 cases of misdiagnosis of pyramidal extrapyramidal reaction induced by methicillin in Fujian Armed Police Frontier Hospital from January 2000 to January 2009 were retrospectively reviewed. Results: Misdiagnosed as viral encephalitis in 7 cases, 4 cases of epilepsy, fever and convulsion in 1 case. Conclusions: Detailed medical history, especially medication history, is an important measure to avoid misdiagnosis of extrapyramidal tebuconazole induced by metopril.