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患者女性,40岁,主因发热、尿频、尿急、尿痛、腰痛等症在当地医院诊为“急性肾盂肾炎”,给予静脉滴注乳酸环丙沙星100ml每日2次。用药后第3天,在输液过程中,患者出现口周麻木,神志恍惚,立即停输环丙沙星,给予地塞米松10mg静脉注射,肾上腺素0.5mg肌肉注射及苯海拉明20mg肌肉注射,症状有所缓解。第四天未应用环丙沙星,患者自觉头痛并有恶心、呕吐,给予对症治疗无好转,于第6天患者出现言语不清及复视等症状而来我院就诊。查体:T36.5℃,R20次/分,P76次/分,
Female, 40 years old, mainly due to fever, frequent urination, urgency, dysuria, back pain embolism in the local hospital as “acute pyelonephritis”, given intravenous infusion of ciprofloxacin lactate 100ml twice daily. On the third day after treatment, during the infusion process, the patient experienced perioral numbness and delirium. Immediate delivery of ciprofloxacin was given to 10 mg of dexamethasone, 0.5 mg of epinephrine, and 20 mg of diphenhydramine , The symptoms eased. The fourth day did not use ciprofloxacin, patients with headache and nausea and vomiting conscious headache, no improvement given symptomatic treatment, on the 6th day patients with speechless and diplopia and other symptoms come to our hospital. Physical examination: T36.5 ℃, R20 beats / min, P76 beats / min,