治疗量阿托品致精神障碍1例

摘要

In 1 patients 58 years old female patients with sciatica, at a local clinic,mistakenly atropine injection 0.5 mg as vitamin B 1 injection injection. Half an hour after intramuscular injection of drugs patients appear blurred vision, dry mouth, palpitation, facial lfushing, later dysphoria,talk rubbish, delirium, hallucinations,be on tenterhooks, dysuria.To saline 500 mL plus vitamin C 2.0 g IVGTT 250 mL saline injection;plus reduced glutathione 1.8 g intravenous furosemide;20 mg static back to promote drug metabolism and diazepam injection 10 mg static annealing treatment, patients in the 8 hours after the psychiatric symptoms disappeared,directional force returned to normal.%1例58岁女性坐骨神经痛患者，在当地诊所就诊，误将阿托品注射液0.5 mg当做维生素B 1注射液肌注。肌注药物30 min后患者出现视物模糊、口干、心慌、面色潮红，随后出现烦躁不安、胡言乱语、谵妄、幻觉、坐立不安、排尿困难等不适。予以生理盐水500 mL加维生素C 2.0 g静滴；生理盐水250 mL加注射用还原性谷胱甘肽1.8 g静滴；速尿20 mg静退促进药物代谢及安定注射液10 mg静退等对症治疗，患者于8h后精神症状消失，定向力恢复正常。