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例1,稽××,男,14岁。因胃部不适,卫生所(?)予服胃复安8mg,每日3次。服用4次后出现下颌(?)斜,舌外伸1天,于1986年6月20日来我科就诊。检查:一般情况好,神志清楚,下颌不自主向左侧偏斜,舌伸出口外,运动不自如,令其作咬合运动时尚可恢复正常咬合关系,但随后又出现上述症状。头颅及口腔颌面部未见实质性病变。结合病史,考虑为胃复安的副作用,嘱停服胃复安,停药1天后,上述症状消失。例2,高××,男,25岁。因胃部不适,服用胃复安8mg,每日3次。服药当晚感到发音困难,吐字不清。次日症状加重,于1986年6月29日来诊。检查:下颌不自主忽左忽右歪斜,半小时后下颌下垂,闭口
Example 1, Ji × ×, male, 14 years old. Due to stomach discomfort, the clinic (?) To stomach Wei Fufang 8mg, 3 times a day. After taking 4 times the jaw (?) Oblique tongue 1 day extension, in June 20, 1986 to our department. Check: the general situation is good, conscious, involuntary mandibular deviation to the left, Tongue out of the export, exercise uncomfortable, so that it can be normal occlusal movement bite the relationship between occlusion, but then the above symptoms. No significant head and oral and maxillofacial lesions. Combined with the history, consider the side effects of metoclopram, asked to stop taking metoclopramide, withdrawal 1 day after the above symptoms disappear. Example 2, high × ×, male, 25 years old. Due to stomach discomfort, taking metoclopramide 8mg, 3 times a day. The medication was difficult to pronounce the night, articulation unclear. The next day the symptoms worsened and came to the clinic on June 29, 1986. Check: Mandibular involuntary left and right suddenly askew, half an hour later mandibular ptosis, closed mouth