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患者系一47岁女工,经医院确诊原发性癫痫已十余年,脑电图符合癫痫改变,近年来病情加重,有时一日发作数次。本次发作始于1980年10月29日,30小时内周身反复抽搐20余次,针灸及苯巴比妥钠肌注等均无效。次日入院时病人呈癫痫持续状态,神志不清,口吐白沫,尿便失禁。遂用治痫片、安定、复方冬眠灵、水合氯醛等,未使抽搐减轻。入院后8小时给予东莨菪碱0.3mg静注;2小时30分后又将山茛菪碱10mg加入静点中,抽搐次数开始减少;第12小时再次肌注东莨菪碱0.3mg,抽搐基本停止。次日又继续山茛菪碱静点和东莨菪碱肌注,午后病人逐渐清醒,但出现一些精神症状。第三天又用药一日后停用东莨菪
The patient is a 47-year-old female worker who has been diagnosed with primary epilepsy by the hospital for more than ten years. The EEG is in line with epilepsy changes. In recent years, her condition has worsened and she sometimes attacks several times a day. The attack began on October 29, 1980, within 30 hours of repeated convulsions throughout the body more than 20 times, acupuncture and phenobarbital sodium intramuscular injection Dengjun invalid. The next day when the patient was admitted to the epileptic seizure status, confusion, foaming at the mouth, urinary incontinence. Then with epilepsy tablets, stability, compound winter sleep Ling, chloral hydrate, etc., did not reduce convulsions. Eight hours after admission scopolamine 0.3mg intravenous injection; 2 hours and 30 minutes after the addition of anisodamine 10mg intravenously, convulsions began to reduce the number of times; 12 hours again intramuscular injection of scopolamine 0.3mg, convulsions basically stopped. On the next day, they continued the intravenous injection of scopolamine and scopolamine. In the afternoon, the patient gradually became awake, but some psychiatric symptoms appeared. The third day after treatment and use of scopolamine disabled