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病历摘要马某,男性,24岁,战士。1982年6月17日行全胃肠道钡餐检查中,放射科医生为缩短检查时间,在胃、十二指肠检查完毕后,给服胃复安45mg。服药后30分钟,患者感头昏、乏力、心悸、四肢麻木、站立不稳;4小时后出现神志不清、辗转不安、谵语呻吟、幻视恐惧。体检:意识模糊,躁动不安,语无伦次,抛衣扯被。两眼瞳孔等大(2mm),对光反射存在。颈软,心律齐,心率46～50次,两肺呼吸音清晰。腹软,肝、脾肋下未触及。关节活动无障碍。肱二头肌、三头肌反射及膝反射均存在,克氏征、布氏征、巴氏征均阴性。心电图检查:窦性心律,窦性心动过缓,心率50次。
Medical summary Mamou, male, 24 years old, warrior. June 17, 1982 line of the total gastrointestinal barium meal examination, radiologists to shorten the examination time in the stomach, duodenum examination is completed, to stomach serving metoclopramide 45mg. Thirty minutes after taking the medicine, the patient felt dizzy, weak, palpitations, limb numbness, standing instability; 4 hours later, he was unconscious, restless, groaning, hallucinating. Physical examination: confusion, agitation, incoherent, throwing clothes was. Two large pupil (2mm), the presence of light reflex. Neck soft, heart rate Qi, heart rate 46 to 50 times, both lungs breath sounds clear. Abdominal soft, liver, spleen ribs untouched. Joint activities accessible. Biceps, triceps reflexes and knee reflexes were present, Kirschner Sign, Brinell’s sign, Papanicum sign were negative. ECG: sinus rhythm, sinus bradycardia, heart rate 50 times.