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异丙嗪引起精神症状较为少见,今报道3例,以引起注意。【例1】王某,男,47岁。病历号002635。于1986年7月28日入院。6小时前因饮食不洁而出现恶心、呕吐、上腹疼痛,头晕。查体:T36.5℃,BP18.62/14.63kPa(140/110mmHg)。神清,心肺(-)。腹软,剑下压痛(+),无反跳痛,肝脾未触及。诊断为急性胃炎、高血压。入院后给予解痉、止痛、抗感染治疗,症状好转。因患者述恶心,给肌注异丙嗪25mg(广州第五制药厂,批号791204),10分钟后出
Promethazine caused mental symptoms are relatively rare, reported 3 cases to attract attention. [Example 1] Wang, male, 47 years old. Medical record number 002635. In July 28, 1986 admission. 6 hours ago because of dirty food and nausea, vomiting, abdominal pain, dizziness. Examination: T36.5 ℃, BP18.62 / 14.63kPa (140 / 110mmHg). God, heart and lung (-). Abdomen soft, tenderness under the sword (+), no rebound pain, liver and spleen not touched. Diagnosis of acute gastritis, high blood pressure. After admission to give antispasmodic, analgesic, anti-infective treatment, the symptoms improved. Because of the patient described nausea, intramuscular injection of promethazine 25mg (Guangzhou Fifth Pharmaceutical Factory, batch number 791204), 10 minutes after the