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胃复安具有较强的中枢性和周围性止吐作用。目前,不管小儿还是成人使用广泛。在临床应用过程中发现对神经系统不良反应较大,此种不良反应容易被误诊为其它疾病。为提高对该药所致的神经系统不良反应的识别与重视,现将近几年来遇到的4例报道如下。例1,患儿,男,11岁。频繁呕吐腹泻2天,入院前10分钟抽搐1次拟为急性肠炎伴中度脱水,颅内感染收住院。入院后再次出现双目凝视,头后仰,四肢抽动,意识清楚,T 38℃。给安定静注后抽搐停止未再发作。查血钠、血钙、脑电图及脑脊
Metoclopramide has a strong central and peripheral antiemetic effect. At present, regardless of pediatric or adult use. In the course of clinical application found that adverse reactions to the nervous system larger, such adverse reactions easily misdiagnosed as other diseases. In order to improve the recognition and emphasis on the adverse reactions of the nervous system caused by this medicine, 4 cases now encountered in recent years are reported as follows. Example 1, children, male, 11 years old. Frequent vomiting diarrhea 2 days, convulsions 10 minutes before admission 1 intended for acute enteritis with moderate dehydration, intracranial infection admitted to hospital. Appeared again after admission binocular gaze, head back, limbs twitching, conscious, T 38 ℃. A stable intravenous seizures stopped no longer attack. Check sodium, calcium, EEG and cerebrospinal