摘要:1 临床资料 例1,男,68岁,65 kg ,ASAⅠ级,在连续硬膜外麻醉下行前列腺摘除术.术中平稳,手术顺利,术后行PCIA.镇痛药物配方为100 mL药液中含芬太尼0.7 mg,氟哌啶10 mg,2 mL/h持续给药.PCIA后8 h,患者出现心烦意乱,躯体扭曲乱动,家属劝解无效.请神经内科、麻醉科会诊.查体温、血压正常并排除颅内血肿、神经损伤等并发症可能性.初步诊断为氟哌啶所致的锥体外系副反应.处理:停止PCIA,肌注安定10 mg,低流量鼻导管给氧(2 L/min),患者入睡,6 h后醒来,症状消失.
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