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口服小量心得安引起精神异常较少见,我们遇到一例,报告如下。病例:女性,74岁,1989年1月21日入院。患者近三年常因劳累感胸骨后烧灼样痛,每次持续3～5分钟,休息后症状消失,多次查心电图正常,未治。入院前一天因劳累出现频繁剧烈胸骨后病,向双肩放散,休息及服硝酸甘油不缓解。心电图示急性心肌梗塞,既往有高血压病史十余年,无精神病史。查体:体温36.8,脉搏110,呼吸20,血压22.6/13.3kpa。重病痛苦容,平卧位,神清语明。颈静脉无怒张,两肺呼吸音清晰,心率110次/分,律齐,心尖部第一心音低钝,A_2>P_2,各瓣膜听诊区未闻杂音。肝脾不大,双下肢无浮肿。实验室检查:血清钾钠氯钙、尿素氮、肌酐、肝功均正常。血糖9.16mmol/L.C—反应蛋白370
Oral small amount of experience caused mental abnormalities rarer, we encountered a case, the report is as follows. Case: Female, 74 years old, admitted to hospital on January 21, 1989. Patients in the past three years often due to fatigue, chest pain after burning like pain, each lasting 3 to 5 minutes after the symptoms disappear after rest, multiple check ECG normal, untreated. One day before admission due to fatigue, frequent severe sternal disease, to the shoulders to disperse, rest and service nitroglycerin does not ease. ECG shows acute myocardial infarction, previous history of hypertension more than ten years, no history of mental illness. Physical examination: body temperature 36.8, pulse 110, breathing 20, blood pressure 22.6 / 13.3kpa. Serious pain, supine position, clear language. Jugular vein without tension, clear breath sounds of both lungs, heart rate 110 beats / min, law Qi, apical low first blunt heart sound, A_2> P_2, the valve auscultation area unheard noises. Liver and spleen is not large, no swelling of both lower extremities. Laboratory tests: serum potassium sodium chloride, urea nitrogen, creatinine, liver function are normal. Blood glucose 9.16mmol / L. C-reactive protein 370