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麻黄素中毒引起心慌、不安、失眠、口干及心律紊乱已有报告,但因其中毒引起尿潴留国内尚未见有报道,现将我们遇到的两例报告如下:倒1 李××,男,64岁,农民,住院号81109。因咳嗽、气喘而一次口服麻黄素125mg,服后半小时出现心慌、口干、不安、头晕,有尿意,但排尿困难,呈点滴状,一小时后完全不能排出,用力至直肠粘膜脱出仍不能排尿而住院。既往有咳嗽及麻黄素服用史,每次量25mg,但无排尿困难史。查体T372℃,R24次/分,P96次/分,BP150/100mmHg。痛苦病容,呻吟,心肺无异常,肝脾未扪及。下腹部膨隆,轻压痛,无肌卫,叩诊呈浊音。肛查:直肠前可扪及充盈之膀胱,前列腺不大。即给鲁米那钠及新斯的明注射,向时给予膀胱穿刺及导尿,共排出尿液1300ml,尿常规检查无异常,住院两天治愈出院。例2 朱××,男,59岁,农民,住院号81319。患者“慢性气管炎”复发,一次口服麻黄素75mg,约40分钟后出现心悸,烦躁不安,四肢颤动,视力模糊,不能排尿,两小时后下腹胀,经针灸三阴交、关元仍不能排尿而住院。查体T37℃,P88次/分,R23次/分,BP160/104mmHg,表情痛苦,捧腹呻吟,两肺可闻及少许中小湿
Ephedrine poisoning caused by palpitation, anxiety, insomnia, dry mouth and heart rhythm disorders have been reported, but because of its poisoning caused by urinary retention has not been reported in China, we now encounter two cases reported as follows: Down 1 Lee × ×, male , 64, farmer, hospital number 81109. Due to cough, asthma and oral ephedrine 125mg, half an hour after the service palpitation, dry mouth, anxiety, dizziness, urinary intention, but dysuria, was drip-like, can not be discharged after one hour, hard to rectal mucosal prolapse still can not Urination and hospitalization. Past cough and ephedrine use history, each volume 25mg, but no history of dysuria. Physical examination T372 ℃, R24 times / min, P96 beats / min, BP150 / 100mmHg. Painful, moan, no abnormal heart and lung, liver and spleen not palpable. Lower abdomen bulging, mild tenderness, no muscle, percussion was voiced. Anal examination: the rectum palpable bladder filling, prostate is not large. That is, to Luminal sodium and neostigmine injection, to give the bladder puncture and catheterization, a total of urine excretion 1300ml, urine routine examination was normal, hospitalized two days cured. Example 2 Zhu × ×, male, 59 years old, farmer, hospital number 81319. Patients with chronic bronchitis relapse, an oral ephedrine 75mg, about 40 minutes after palpitations, irritability, limb fibrillation, blurred vision, can not urinate, two hours after abdominal distension, acupuncture Sanyinjiao, Guan Yuan still can not urinate and hospitalization . Physical examination T37 ℃, P88 beats / min, R23 beats / min, BP160 / 104mmHg, expression painful, belly moan, both lungs can smell and a little wet