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患者男70岁因“中上腹痛1 h”入院,考虑为急性胰腺炎。既往4月前有“高血压、多发性脑梗死”病史,治疗后恢复。无精神病史。入院后予阿托品(浙江瑞新药业股份有限公司生产)0．5 mg im,12 min后患者开始出现躁狂,四肢肌肉紧张,乱动,胡乱喊叫,语音含糊,问话不应答,家人亦不认识,体检:双侧瞳孔对光反射存在,脑神经无异常,四肢肌力
The patient was 70 years old because of “mid-abdominal pain 1 h” admission, consider acute pancreatitis. Prior to 4 months ago, “hypertension, multiple cerebral infarction” history, recovery after treatment. No history of mental illness. After admission to atropine (Zhejiang Ruixin Pharmaceutical Co., Ltd. production) 0.5 mg im, 12 min after the patient began to appear manic, limb muscle tension, random, random shouting, vague vague, ask not answer, family members also Do not know, physical examination: bilateral pupil light reflex exists, no abnormalities of the brain, limb muscle strength