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患者男,69岁。因经常上腹部饱胀感,呃逆,食欲不振,服胃复安5mg 3次/d,半月后症状减轻,停药后复发,随后又自服胃复安,剂量同前,共服30d,随即出现不自主咬牙动作,清醒时连续牙齿咬磨,精神紧张时尤甚,检查听其声音如同咬嚼干炒大豆,睡眠时消失。嘱其停药,给安定2.5mg 3次/d,但牙齿咬磨不减轻,持续达3个月之久症状逐渐消失,双侧磨牙磨去一大半,其平面已接近牙龈。后进一步证实是否为胃得安所引起,又嘱服此药5mg 3次/d,1周后牙齿咬磨复发,立即停药并服655-2 10mg 3次/d,连服3周后症状逐渐消失。
Male patient, 69 years old. Due to frequent upper abdomen feeling of fullness, hiccups, loss of appetite, serving metoclopramide 5mg 3 times / d, half a month after the symptom? My, relapse after stopping, and then self-serving metoclopramide, dose with the former, served a total of 30d, then Appear involuntary teething action, sober continuous teeth biting, especially when nervous, check to hear their voice as crunching fried soybeans, disappear while sleeping. Told it to stop the drug to diazepam 2.5mg 3 times / d, but the teeth bite does not reduce the symptoms continued for up to 3 months gradually disappeared, the bilateral molar grinding to more than half of its plane has been close to the gums. After further confirmed whether the stomach is caused by security, but also to take the drug 5mg 3 times / d, 1 week after the recurrence of dental bite, and immediately stop taking 655-2 10mg 3 times / d, and even after 3 weeks of service symptoms disappear slowly.