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患者女性,67岁。因反复咳嗽、咳痰、喘息20年,加重10天入院。既往无痴呆、精神病史,亦无药物及饮酒史。诊断:慢支炎急性发作,肺气肿。神经系统检查无阳性体征。入院后立即给予国产乳酸环丙沙星注射液200mg静脉滴注,每12/小时一次,另给予氨茶碱、丹参、必嗽平等。用药48小时后,患者始出现焦虑、恐惧、烦躁、失眠、谵妄、四肢阵发性抽搐。神经系统检查:定向障碍,懒言、鼻唇沟对称,颈软、四肢肌张力增强,腱反射亢进,巴彬氏征(+)、夏达克(+)、戈登(+)、奥本海征(+)。实验室检查仅脑电图异常,示在有结构破坏的前景上,出现过慢的
Patient female, 67 years old. Due to repeated cough, sputum, wheezing 20 years, increased 10 days admitted to hospital. No past dementia, history of mental illness, no drug and alcohol history. Diagnosis: Acute episodes of chronic bronchitis, emphysema. Neurological examination no positive signs. Immediately after admission to give domestic ciprofloxacin lactate injection 200mg intravenously, once every 12 / hour, and the other given aminophylline, Salvia, must cough equality. 48 hours after the medication, the patient began to appear anxiety, fear, irritability, insomnia, delirium, limbs and convulsions. Nervous system examination: disorientation, laziness, symmetry of the nasolabial fold, neck softness, increased muscle tone of the extremities, hyperreflexia of the tendons, Badin’s Syndrome (+), Shadyak (+), Gordon Sea sign (+). Laboratory tests only abnormal EEG, shown in the foreground of structural damage, appeared too slow