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病历摘要许××,女,42岁.住院号:18071.该患者因右肩关节周围炎及腰部风湿病1年余就医,治疗首选右肩关节处隔2天封闭共3次,每次强的松龙25mg加维生素B_(12)250μg和1%利多卡因4ml,病情明显好转.再隔2天后右肩关节及腰部(第三腰椎间隙和第四腰椎间隙)分别注射,共用强的松龙40mg,维生素B_(12)500μg,1%利多卡因10ml,注射完毕,拔针后立即出现哭笑面容,颜面部及双下肢肌肉不自主的阵挛性抽搐,有时呈点头样抽搐.查体:T36.4°,P70,R18,Bp17/11.发育正常,神志清晰,皮下无结节,全身皮肤粘膜未见异常.两侧瞳孔等大同圆对光反射
Medical record summary Xu × ×, female, 42 years old. Hospital number: 18071. The patient was admitted to the hospital for treatment of right shoulder joint inflammation and lumbar rheumatism for more than 1 year. Of the pineal 25mg plus vitamin B 12 (12) 250μg and 1% lidocaine 4ml, the condition was significantly improved.After another two days after the right shoulder and waist (third lumbar intervertebral space and the fourth intervertebral space) were injected with prednisone Dragon 40mg, vitamin B_ (12) 500μg, 1% lidocaine 10ml, injection is completed, immediately after pulling the needle dumbfounding face, face and lower extremity muscles involuntary clonic convulsions, and sometimes nodded like convulsions. Body: T36.4 °, P70, R18, Bp17 / 11. Normal development, clear consciousness, no subcutaneous nodules, no abnormal mucosa of the whole body skin. Both sides of the pupil and other Datong round light reflex