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胃复安(甲氧氯普胺)过量导致的小儿锥体外系反应临床已多有报道。但因母亲服用胃复安致婴儿出现锥体外系反应者属少见。笔者在我院门诊遇到1例,现报告如下。 1病历摘要 患儿 男,5个月。就诊前4小时开始阵发性两眼上翻、凝视,颈后仰,四肢强直,每次持续约5分钟,30分钟左右发作一次,共6~7次。发作间期精神好,不发热,无呕吐。病前未用过任何药物。但在患儿发病前约12小时内,其母亲因“胃痛”分3次服用胃复安共100mg,最后1次服40mg,距患儿发病约半小时,此期间共喂奶约7~8次。患儿系足月顺产;否认产伤及窒息史,既往无惊厥史。查体:就诊时意识清,精神萎靡,呼吸平稳。皮肤未见黄染及瘀点、瘀斑;前囟平,张力不高;两肺未闻及
Metoclopramide (metoclopramide) excess caused by extrapyramidal reactions in children has been reported in clinical practice. However, due to the mother taking metoclopramide induced infantile extrapyramidal reactions are rare. I encountered in our hospital clinic in 1 case, are as follows. 1 medical record abortion male, 5 months. 4 hours before treatment, paroxysmal two eyes up, staring, neck back, limbs straight, each lasting about 5 minutes, about 30 minutes attack, a total of 6 to 7 times. Intermission spirit, not fever, no vomiting. Before the illness did not use any drugs. However, within about 12 hours before the onset of the disease, her mother took 100 mg of metoclopramide for 3 times because of “stomach ache” and took 40 mg for the last time and about half an hour from the onset of her child. During this period, her milk was fed for about 7-8 times . Children with full-term follow-up; denial of birth and asphyxia history, no previous history of convulsions. Examination: At the time of treatment, consciousness, apathetic, breathing steady. No yellow stained skin and petechiae, ecchymosis; anterior fontanel, tension is not high; two lungs did not smell