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李××,男,22岁,病案号48051,患外伤性精神病,每天内服氯丙嗪300mg,氟奋乃近12mg,五天后病人出现上腹部胀痛,呕吐,吐出为胃内容物,体检:中上腹部稍膨隆,压痛,明显震水音,肠鸣音略减弱。上消化道钡餐见胃形态极度扩张,胃大弯侧达盆部。胃呈水囊状,胃蠕动消失。诊断为急性胃扩张。经停药、禁食、持续胃肠减压、补液、维生素B_1双侧足三里穴位注射,1周后症状消失。为了控制精神症状仍服氟奋乃近每天12mg,4天后腹部症状再现,经再次停药,对症治疗症状缓解后
Lee × ×, male, 22 years old, case number 48051, suffering from traumatic psychosis, daily oral chlorpromazine 300mg, fluoride Fen nearly 12mg, five days later the patient had upper abdominal pain, vomiting, spit out the contents of the stomach, physical examination: The upper abdomen slightly bulging, tenderness, significant shock sound, bowel sounds slightly weakened. Upper gastrointestinal barium meal to see the extreme expansion of stomach morphology, stomach, stomach and reach the basin. Stomach was cystic, gastric motility disappeared. Diagnosis of acute stomach dilatation. The withdrawal, fasting, continuous decompression, rehydration, vitamin B_1 bilateral Zusanli point injection, 1 week after the symptoms disappear. In order to control the psychiatric symptoms are still serving fluorine Fen almost daily 12mg, 4 days after the abdominal symptoms reproduce, after stopping again, symptomatic treatment of symptoms after remission