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患者,男,45岁。因上腹部隐痛伴恶心呕吐半天,在当地给予胃复安10mg口服3次/日,在服第二剂(共20mg)后1小时,突然反复出现张、闭口困难伴言语不清来我院门诊求医。发病前无明显诱因。查体:一般情况好,血压110/70mmHg,下颌前突,口角流涎,上下齿咬合不能,伸缩舌、咀嚼困难,语言含糊不清,两颊扁平,耳屏前方凹陷,双侧咀嚼肌僵硬。发作持续3～10分钟不等,每1/2～1小时发作一次,如是4次。考虑系胃复安
Patient, male, 45 years old. Due to upper extremity pain with nausea and vomiting for a long time, the local given metoclopramide 10mg orally 3 times / day, taking the second dose (a total of 20mg) 1 hour after the sudden appearance of Zhang, difficulty in closing with slurred speech to our hospital Seeking medical advice. Before the onset of no obvious incentive. Physical examination: the general situation is good, blood pressure 110 / 70mmHg, mandibular protrusion, mouth drooling, upper and lower teeth can not bite, retractable tongue, chewing difficulties, vague language, flat cheeks, tragus concave front, bilateral masticatory muscle stiffness. Episodes lasting 3 to 10 minutes ranging from attack every 1/2 to 1 hour, so 4 times. Consider the stomach Fu-An