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李某,女,45岁,职工家属。患者于1984年5月11日在本科局麻下拔除7,拔牙顺面,历时3分钟。拔牙后约5分钟患者诉心慌不适,遂嘱其躺卧于牙科椅上,见患者面色潮红,无紫绀,双眼紧闭,嘴唇及四肢震颤,双手呈鹰爪状,不言不语,呼之不应。检查T36.5℃,P96次/分,R24次/分,BP100/70mmHg,神志呈朦胧状态,拨开眼睑见眼球活动自如,双瞳孔等大等园,对光反射存在,颈软,心、肺、腹未查见异常,肌腱反射正常,无病理反射。根据临床表现初步诊断患者系为拔牙
Lee, female, 45 years old, workers and dependents. Patients in May 11, 1984 under the anesthesia in the undergraduate department pulled 7, extraction teeth along the surface, which lasted 3 minutes. About 5 minutes after tooth extraction, the patient complained of palpitation discomfort, and then told her to lie on the dental chair, see the patient flushing, cyanosis, eyes closed, lips and limb tremor, his hands were eagle-shaped, silent, call Should not. Check T36.5 ℃, P96 times / min, R24 times / min, BP100 / 70mmHg, mind was hazy state, remove the eyelid to see the eye movement freely, double pupil and other large park, the presence of light reflex, neck soft, Lung, abdomen did not check for abnormalities, normal tendon reflex, no pathological reflex. According to the clinical manifestations of the initial diagnosis of patients with tooth extraction