<div style="margin: 12px 0px; font-family: arial; color: #333333; background: #ffffff; border: solid 4px #e5e5e5; width: 100%; clear: left;"><div class="CM_CTB_Content_Wrap" style="margin: 0px; padding: 0px;background-color: #ffffff;"><div style="border-bottom: solid 1px #dcdcdc; white-space: nowrap; margin-bottom: 8px; background-color: #eeeeee ;background-image: url(http://clipmarks.com/images/source-bg.gif); background-repeat: repeat-x; height: 24px; line-height: 24px; vertical-align: middle; padding-bottom: 4px; color: #666666; font-size: 10px;" ><a href="http://clipmarks.com/clip-to-blog/" title="see clips that are hot right now"><img src="http://content.clipmarks.com/blog_embed/1807c921-2c95-43e1-a112-e45370f78fef/04972F6C-1597-46C5-B979-938CFDA2820E/" alt="" width="19" height="19" border="0" style="vertical-align: middle; margin: 0px 4px; display: inline; border: none; float:none;" /></a>clipped from <a title="http://tw.myblog.yahoo.com/jw!agLshXqaCRS0qubZKnY9/article?mid=85&prev=88&next=84" href="http://tw.myblog.yahoo.com/jw!agLshXqaCRS0qubZKnY9/article?mid=85&prev=88&next=84" style="font-size: 11px;">tw.myblog.yahoo.com</a></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://tw.myblog.yahoo.com/jw!agLshXqaCRS0qubZKnY9/article?mid=85&prev=88&next=84"><H2><SPAN>變臉--錐體外症候群(EPS)</SPAN> </H2></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://tw.myblog.yahoo.com/jw!agLshXqaCRS0qubZKnY9/article?mid=85&prev=88&next=84"><DIV class="date">2006/12/16 14:49</DIV></blockquote><div style="height: 2px; font-size: 2px; background: #dcdcdc; border-bottom: solid 1px #f5f5f5; margin: 2px 4px;"></div><blockquote style="text-align: left; padding: 0px 8px; margin: 4px 0px 8px 0px; background: transparent; border: none;" cite="http://tw.myblog.yahoo.com/jw!agLshXqaCRS0qubZKnY9/article?mid=85&prev=88&next=84"><DIV class="msgcontent"> <IMG src="http://tw.f14.yahoofs.com/myper/agLshXqaCRS0qubZKnY9/blog/ap_20061216031043732.jpg?TTnh2AGBJKar0A29" /> <P>下午六時許..</p> <P>一位女高中生被父親帶來急診</p> <P><SPAN>「醫生！ 我女兒的臉突然扭曲歪嘴<SPAN><FONT color="#000000">，</FONT></SPAN>眼睛直視不動」<SPAN><FONT color="#000000">，</FONT></SPAN>父親焦急的說<SPAN>「是不是中風還是癲癇病!?」</SPAN></SPAN></p> <P><SPAN><SPAN><SPAN>「你女兒最近有吃甚麼藥嗎」我心有所指的說</SPAN></SPAN></SPAN></p> <P><SPAN><SPAN>「有ㄚ<SPAN><FONT color="#000000">，我女兒</FONT></SPAN>這幾天因為腸胃不好<SPAN><FONT color="#000000">，</FONT></SPAN>有吃腸胃科醫生開的藥」</SPAN></SPAN></p> <P><SPAN><SPAN>「好！那我知道了」<SPAN><FONT color="#000000">，</FONT></SPAN><SPAN>「待會兒給她打一針<SPAN><FONT color="#000000">，</FONT></SPAN>很快就沒事了」</SPAN></SPAN></SPAN></p> <P><SPAN>經過二十分鐘後<SPAN><FONT color="#000000">，這位女高中生果然恢復原本清純的臉龐</FONT></SPAN></SPAN></p> <P><SPAN><SPAN><SPAN><SPAN>「我知道那時候整個臉歪變僵硬<SPAN><FONT color="#000000">，就是又無法控制<SPAN>，感覺很驚恐</SPAN></FONT></SPAN>」女高中生回想說著</SPAN></SPAN></SPAN></SPAN></p> <P><SPAN><SPAN><SPAN><SPAN></SPAN>以後看任何病都要告訴醫生「請不要開整腸藥<SPAN><FONT color="#000000">，</FONT></SPAN>我會得EPS」對著女高中生及她父親說</SPAN></SPAN></SPAN></p> <P><SPAN><SPAN><SPAN><SPAN>「就當作是”藥物過敏”<SPAN><FONT color="#000000">，要</FONT></SPAN>讓醫生護士知道<SPAN><FONT color="#000000">，</FONT></SPAN>病歷上要做記錄」</SPAN> <P><SPAN><SPAN><SPAN>這是某一類腸胃藥所導致的副作用<SPAN><FONT color="#000000">，平常人少見<SPAN>，在醫院有經驗的醫生一看就知道了</SPAN></FONT></SPAN></SPAN></SPAN></SPAN></p> </SPAN></SPAN></SPAN> </P><P><SPAN><SPAN><SPAN><SPAN>三十分鐘後<SPAN><FONT color="#000000">，這位為女高中生帶著笑容跟著父親往急診出口離開...</FONT></SPAN></SPAN></SPAN></SPAN></SPAN></p> <SPAN><SPAN><SPAN><SPAN><SPAN> <P><SPAN><FONT></FONT></SPAN> </p> <P><SPAN><FONT>（上課了）</FONT></SPAN></p> <P><SPAN><FONT><FONT>甚麼叫</FONT></FONT><FONT>錐體外症候群　</FONT></SPAN></p> <P><SPAN><FONT>(EPS)</FONT><FONT> ：<SPAN>指控制運動之系統受到影響</SPAN><SPAN>所引起的症狀，如肢體發抖，僵硬或不平衡感等。</SPAN></FONT></SPAN></p> <P><SPAN><FONT><SPAN></SPAN></FONT></SPAN><SPAN>常見藥物副作用：<STRONG><SPAN>EPS</SPAN>，</STRONG>其藥物有<SPAN>...</SPAN></SPAN></p> <P><SPAN>1.</SPAN><SPAN>傳統抗精神病藥物<SPAN>(</SPAN></SPAN><SPAN>第一代抗精神病藥物<SPAN>)</SPAN>阻斷了黑質紋狀體多巴胺徑路之多巴胺<SPAN>D2 </SPAN>受體，而容易產生<FONT color="#ff0000">運動方面</FONT>的副作用。</SPAN><SPAN></SPAN></p> <P><SPAN>2.</SPAN><SPAN>多巴胺拮抗製劑<SPAN>(dopamine antagonist)</SPAN>：</SPAN><SPAN>目前最常使用的<FONT>抗嘔吐藥物(如primperan)</FONT>。常見的副作用是坐立難安，及</SPAN><SPAN>錐體外症候群</SPAN><SPAN>。<SPAN> <BR /></SPAN></SPAN><SPAN>3.</SPAN><SPAN>好度<SPAN>(Haloperidol)</SPAN></SPAN><SPAN>：一樣是多巴胺拮抗製劑，一般用於精神科病人，所以較少被用於抗嘔吐的作用。常見的副作用也是坐立難安和</SPAN><SPAN>錐體外症候群</SPAN><SPAN>。</SPAN></p> <P><STRONG><SPAN>治療: </SPAN></STRONG></p> <P><SPAN><STRONG>1.</STRONG>抗膽鹼藥物<SPAN>(Akineton, 1/2-1 amp( 5m g) im</SPAN>或<SPAN> 2m g </SPAN>口服ㄧ日<SPAN>1-3</SPAN>次；<SPAN>Artane 1m g/day</SPAN>或<SPAN> 5 -15m g/day )</SPAN></SPAN><SPAN>為主。</SPAN><SPAN></SPAN></p> <P><SPAN><STRONG><FONT color="#000000">2.</FONT></STRONG> 抗組織胺製劑<SPAN>(antihistamine)</SPAN></SPAN><SPAN>：除了可以對抗噁心嘔吐，還<SPAN>可以治療</SPAN>因抗多巴胺製劑所引發的坐立難安，以及</SPAN><SPAN>錐體外症候群</SPAN><SPAN>。副作用主要是嗜睡。<SPAN></SPAN></SPAN></p> <P></p> </SPAN></SPAN></SPAN></SPAN> </SPAN> <P><SPAN><SPAN><SPAN></SPAN></SPAN></SPAN> </p> <P><SPAN></SPAN></p> <P> </p> </DIV></blockquote></div><div style="margin: 0px 6px 6px 4px;"><table style="font-size: 11px;border-spacing: 0px;padding: 0px;" cellpadding="0" cellspacing="0" width="100%"><tr><td style="background:transparent;border-width:0px;padding:0px;">&nbsp;</td><td align="right" style="background:transparent;border-width:0px;padding:0px;width:107px" width="107"><a href="http://clipmarks.com/share/04972F6C-1597-46C5-B979-938CFDA2820E/blog/" title="blog or email this clip"><img src="http://content7.clipmarks.com/images/c2b-foot.png" border="0" alt="blog it" width="107" height="17" style="border-width:0px;padding:0px;margin:0px;" /></a></td></tr></table></div></div>

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