1病历摘要女,78岁。诊断为多发性脑梗死、老年性精神病,躁狂、失眠等症状明显,于晚间21:00误服奥氮平25 mg,晨起4:00患者进入睡眠,5:30出现呼之不应,HR 140次/min,R 28次/min,血糖15.5 mmol/L,BP 110/60 mm Hg。查体:患者呈四肢软瘫,昏迷状态,对外界轻度刺激无反应,压眶无反应 1 medical records female, 78 years old. Diagnosed as multiple cerebral infarction, senile mental illness, mania, insomnia and other symptoms were obvious, at 21:00 orally taken olanzapine 25 mg, early morning 4:00 patients into sleep, 5:30 appearing should not call, HR 140 beats / min, R 28 beats / min, blood glucose 15.5 mmol / L, BP 110/60 mm Hg. Physical examination: patients were extremities with paralysis, coma, no response to mild external irritation, no response to pressure orbital