硬膜外及静脉注入氟哌利多致椎体外系症状二例报告

INNER MONGOLIA MEDICAL JOURNAL(2004)

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Abstract
例1:女性,35岁.因患卵巢囊肿在硬膜外麻醉下行囊肿切除术.麻醉用1.5%利多卡因与0.19%布比卡因混合液,术中生命体征平稳,术毕前经硬膜外导管注入吗啡2.5mg加氟哌利多2.5mg作术后镇痛.患者送返病区5h许,出现面部表情呆滞,两眼球上翻,双手抽搐样表现.考虑为氟哌利多所致椎体外系反应,给予安定10mg、东莨菪硷0.3mg肌注,约30min后症状始减轻,1h后症状消失.
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