哌替啶在治疗剂量时可引起轻度不良反应，包括眩晕、出汗、口干、恶心、呕吐、心动过 速或晕厥，但致皮质盲尚未见报道。作者遇见1例，报道如下。1 病例资料患者女，21岁，因剧烈牙痛在某卫生院肌肉注射哌替啶100mg后出现头昏、眩晕、恶心、 双 眼失明半小时，急诊入院。体格检 Pethidine at the therapeutic dose can cause mild adverse reactions, including dizziness, sweating, dry mouth, nausea, vomiting, tachycardia or syncope, but the cortical blindness has not been reported. The authors met in 1 case, reported as follows. 1 Case data Female, 21 years old, due to severe toothache in a hospital after intramuscular injection of pethidine 100mg dizziness, dizziness, nausea, blindness half an hour, emergency admission. Physical examination