病例:患儿张×8岁,长期患腹疼、腹胀,时有呕吐,在乡卫生院诊断为慢性浅表性胃炎,经系统治疗一段时间好转,后因饮食又出现上述症状,并有恶心、呕吐,在该村卫生院就诊,给予胃复安、庆大霉素等药物治疗,2小时后症状缓解,因怕夜间再发作,又给4片(20mg)胃复安口服,晚间患儿出现全身肌肉痉挛,双上肢不停抖动,行走不稳,被急送医院就诊。查体见双手伸直震颤,肘关节内屈,头颈强直,头俯屈,呈痉挛性卷曲状态,口内大量涎液,有轻微声音发出,双眼凝视,对光反射减弱,但体温正常,脉搏稍快,120次/分,医务人员详细询问病史后,初步诊断为:胃复安中毒,遂给安坦、输液等治疗,2小时后好转未再复发,经脑电图等多项检查未见异常。 Case: children × 8 years old, long-term suffering from abdominal pain, abdominal distension, sometimes vomiting, the diagnosis of chronic superficial gastritis in the township hospitals, the system for some time improved after the diet and the above symptoms, and nausea , Vomiting, treatment in the village hospital, given metoclopramide, gentamicin and other drug treatment, 2 hours after the symptoms were relieved, because of fear of re-attack at night, gave 4 tablets (20mg) Whole body muscle spasms occurred, both upper and lower limbs jitter, walking unsteadily, was sent to the hospital. See his hands straight tremor, elbow flexion, head and neck stiffness, head flexion, spastic curled state, a large number of mouth saliva, a slight sound, eyes staring, weakened light reflex, but the body temperature is normal, the pulse slightly Fast, 120 beats / min, Medical staff detailed history, the initial diagnosis as follows: metoclopramide poisoning, then give Antan, infusion and other treatment, no recurrence after 2 hours of improvement, the EEG and other tests have not seen abnormal.