论文部分内容阅读
患者安某,女,66岁。因双眼患老年性白内障于1991年7月入院。术前给予1％阿托品与新福林交替点眼散瞳,每次间隔15分钟,双眼各点阿托品二次,每眼每次二滴,共8滴(约0.5ml),滴眼后用手压迫内眦部1分钟,1小时后,病人出现口干、面包潮红、神志恍惚、谵语、狂躁、体温38℃,心率120次/分,呼吸加深加快,26次/分等阿托品中毒症状。立即给予吸氧,肌肉注射新斯的明10mg,氟美松5mg,50％葡萄糖20ml加速尿20mg缓慢静脉注射。6小时后病人神志清楚,呼吸平稳,症状逐渐消失。因病人体质差,次日停手术,10天后病人一般情况好,再次做术前
Patient safety, female, 66 years old. Due to bilateral eyes with senile cataract admitted in July 1991. Preoperatively given 1% atropine and new forint alternately mydriasis, each interval of 15 minutes, each eye atropine twice, two drops per eye, a total of 8 drops (about 0.5ml), after ophthalmic suppression by hand The internal part of the Ministry of 1 minute, 1 hour later, the patient appeared dry mouth, bread flushing, trance, delirium, mania, body temperature 38 ℃, heart rate 120 beats / min, breathing deepened, 26 / grade atropine poisoning symptoms. Immediately given oxygen, intramuscular injection of neostigmine 10mg, dexamethasone 5mg, 50% glucose 20ml slow urine 20mg intravenous injection. Six hours later, the patient was conscious and breathed smoothly, and the symptoms gradually disappeared. Due to poor patient constitution, the next day surgery, 10 days after the patient is generally good, again before surgery