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神经安定药恶性综合征是Delay等人1968年提出,用以描述酚噻嗪类药导致的神经系统功能障碍的一种药物热,该综合征与恶性高热有类似之处。作者报道一例女性患者,44岁,主诉全身不适,肌肉疼痛,发热、寒颤伴咳痰四天住院。至入院时已使用酚噻嗪类药三氟噻吨四周。查体:呈间歇热,定向准确,但血压测不到,有直立性晕厥,脉搏120次/分,左肺底偶闻水泡音。实验室检查:白细胞计数14000/mm~3,尿潜血和尿蛋白强阳性,镜检仅见少许红细胞;血色素、血小板、脲氮、电解质、血气及心电图、胸片均正常。诊断:感染性休克。经肺动脉插管输入胶体和晶体液后中心静脉压从-2升到8cmH_2O,但仍
Neuroleptic malignant syndrome is a drug fever proposed by Delay et al in 1968 to describe the nervous system dysfunction induced by phenothiazines, which has similarities with malignant hyperthermia. The authors report a female patient, 44 years old, who complained of general malaise, muscle pain, fever, chills and expectoration for four days. Phenothiazines have been used to hospital admission trifluoperazine four weeks. Physical examination: was intermittent fever, orientation accurate, but not measured by blood pressure, erection syncope, pulse 120 beats / min, left lung even heard the blisters sound. Laboratory tests: white blood cell count 14000 / mm ~ 3, urine occult blood and urinary protein strong positive, microscopic examination showed only a few red blood cells; hemoglobin, platelets, urea nitrogen, electrolytes, blood gas and ECG, chest X-ray were normal. Diagnosis: Septic shock. After pulmonary artery catheterization of colloid and crystalloid fluid after the central venous pressure rose from -2 to 8cmH_2O, but still