患者,男,52岁.因抑郁症于1997年8月19日首次入院,给予口服氯米帕明(氯丙咪嗪)片125mg/d及佳乐定片0.8mg/d治疗,因疗效不满意,在第18天加用氟西汀早餐20mg顿服,当天下午4时30分突然出现头昏,浑身发热,发抖,呻吟,焦虑不安,恐惧,全身僵直,自觉有明显的频死感.检查:意识清,定向准,面色苍白,瞳孔扩大,肢体震颤明显,肌张力增高,T 37℃,HR 110次/min,BP2413.3 kPa.考虑为氟西汀所致,立即给肌注氯硝西泮针1mg,口服普萘洛尔(心得安)10mg,40 Patient, male, aged 52. Depression was first admitted to hospital on August 19, 1997. Oral clomipramine (clomipramine) 125 mg / d and galectine 0.8 mg / d were given as treatment. Satisfaction, on the 18th plus fluoxetine breakfast 20mg Dayton clothing, at 4:30 pm that day suddenly appeared dizzy, whole body fever, trembling, moaning, anxiety, fear, body stiffness, consciously have a clear sense of frequency of death. Check: conscious, directional quasi, pale, pupil dilated, limb tremor was obvious, muscle tension increased, T 37 ℃, HR 110 times / min, BP2413.3 kPa. Considering fluoxetine caused by immediate injection of intramuscular chlorine Nitrazepam 1mg, oral propranolol (propranolol) 10mg, 40