口服洋金花煎剂致儿童精神异常

1例11岁女性患儿因口腔溃疡,口服家人自行用3朵洋金花煎煮的汤剂约300 ml,2 h后出现兴奋躁动,易惊醒症状持续一整夜。体格检查发现幻觉、自知力缺乏、定向障碍等症状。心电图检查示窦性心动过速。其症状可能和洋金花所含莨菪碱有关。给予葡萄糖氯化钠500 ml,1次/d静脉滴注,地西泮2.5 mg,2次/d口服。治疗第3天患儿症状消失。

Mental disorders due to oral datura flower decoction in a child

A 11-year-old girl took a decoction about 300 ml equivalent to 3 flowers of Datura metel for oral ulcers.After two hours,she developed agitation,followed by frequent waking during the night.An examination showed hallucination,lack of insight,disorientation.Her ECG showed sinus tachycardia.Her symptoms were considered to possibly be associated with hyoscyamine contained in datura flower.She was given an IV infusion of glucose and sodium chloride 500 ml once daily,oral diazepam 2.5 mg twice daily.On day 3 of ...