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1 病例介绍 患者男,56岁,教师。因上腹饱胀不适、无规律灼痛半年于1997年9月17日入院。平素精神正常。查体:血压17kPa/12kPa,神清、巩膜无黄染,心、肺正常,肝脾肋下未触及,中上腹轻压痛,两肾区无叩痛,神经系统未查出阳性体征。辅助检查:尿常规、肝肾功能、心电图均正常,胃镜示浅表性胃炎。给予吗丁啉10mg,阿莫西林(羟氨苄青霉素)0.5g。患者于中午12时、晚7时各按上述剂量服用1次,当晚9时患者出现明显的言语增多,兴奋、躁动、易激惹、幻视,并出手伤人、乱扔室内物品,持续约1 h,经应用
1 case description Male patient, 56 years old, teacher. Abdominal distension due to abdominal discomfort, irregular burning six months on September 17, 1997 admitted. Usually normal spirit. Examination: blood pressure 17kPa / 12kPa, Shen Qing, sclera no yellow dye, heart, lung normal, liver and spleen ribs untouched, tenderness in the abdomen, two kidney area without percussion pain, the nervous system did not detect positive signs. Auxiliary examination: urine, liver and kidney function, ECG are normal, gastroscopy showed superficial gastritis. Give domperidone 10mg, amoxicillin (amoxicillin) 0.5g. Patients at 12 o’clock in the afternoon, at 7 o’clock each dose according to the above dose 1, 9 o’clock that night significantly increased speech, excitement, agitation, irritability, visual hallucinations, and shot wounding, littering indoor items, continued for about 1 h, by application