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1、病例介绍 患者董某,女,47岁,住院号412220,以腰腿痛半年为主诉入院,诊断:腰5骶1椎间盘脱出。于住院第3天做脊髓造影,碘试验(静脉法)为阴性,按常规操作,造影完毕速回病房,无任何不适。造影后约20分钟时,患者突然出现全身抽搐,呈阵挛性,抽搐时间约3秒,两次抽搐间隔2秒,出冷汗,恶心呕吐,大喊大叫,极度痛苦,大小便失禁,T37.5℃,P102次/分,R26次/分,Bp28.0/18.0Kpa,急给肌注地塞米松,非那根,鲁米那,肾上腺素,利血平,静脉推注安定,吸氧,保持呼吸道通畅,建立静脉通路,经过以上处理抽搐无好转,
1, the case presentation Dongmou, female, 47 years old, hospital number 412220, mainly to low back pain for six months admitted to hospital, diagnosis: lumbosacral lumbosacral disc prolapse. The third day in hospital for myelography, iodine test (venous) was negative, according to the routine operation, the contrast has been completed quickly back to the ward, without any discomfort. About 20 minutes after angiography, the patient suddenly showed generalized convulsions, was clonic, convulsions time of about 3 seconds, two convulsions interval of 2 seconds, out of cold sweat, nausea and vomiting, shouting, extreme pain, incontinence, T37 .5 ℃, P102 times / min, R26 beats / min, Bp28.0 / 18.0Kpa, acute intramuscular injection of dexamethasone, finasteride, luminal, epinephrine, reserpine, intravenous bolus stability Oxygen, keep the airway open, the establishment of venous access, after the above treatment did not improve convulsions,