Eyeball turned up and fixed

Introduction Bephenium is a broad-spectrum anthelmintic drug that can treat hookworms, aphids and whipworms to better effect hookworms. After poisoning, there are dizziness, headache, nausea, vomiting, abdominal pain, diarrhea, lethargy and insomnia. Occasionally, epileptic seizures may occur. In severe cases, A-S syndrome occurs. The sick child suddenly lost consciousness, pale, cyanotic lips, upturned and fixed eyeballs, strong muscles, convulsions in the limbs, shortness of breath or even stop, arrhythmia, and then heart sounds and pulse disappeared.

Cause

The cause of the eyeball turning up and fixing:

Poisoning is mostly caused by a large number of accidents. In the case of heart disease or potassium deficiency, the application of therapeutic doses may have a serious reaction, and even A-S syndrome may occur. If used in combination with digitalis, chloroquine and expectorant, it can easily lead to cardiotoxicity.

an examination

Related inspection

Eye and eyelid examination ophthalmology examination eye function examination

Examination of the eyeball up and fixed:

After poisoning, there are dizziness, headache, nausea, vomiting, abdominal pain, diarrhea, lethargy and insomnia. Occasionally, epileptic seizures may occur. In severe cases, A-S syndrome can occur. The child suddenly loses consciousness. His face is pale, his lips are blue, his eyes are upturned and fixed, his whole body muscles are stiff, his limbs are convulsing, his breathing is short or even stopped, his arrhythmia is abnormal, and his heart sound and pulse disappear. Electrocardiogram showed ventricular flutter, ventricular fibrillation, ventricular tachycardia or arrest; intermittent sinus tachycardia and ventricular premature beat, ST segment changes and obvious U wave. This syndrome often occurs between 45 minutes and 30 hours after taking the drug.

The clinical manifestations of Asperger's syndrome are transient loss of consciousness, pale complexion, purpura, decreased blood pressure, incontinence, and convulsions. Heartbeat stops for 2-3 seconds and can be dizzy; 4-5 seconds is pale and ambiguous; 5-10 seconds can cause syncope; more than 15 seconds, convulsions and purpura occur. The appearance and severity of symptoms are related to the onset of illness and patient tolerance. Heart sound disappeared, pulse and blood pressure were not detected at the onset of symptoms, and EKG showed sinus rest, ventricular tachycardia, ventricular fibrillation, or severe sinus depression.

Differential diagnosis

Eyeballs are flipped up and fixed with confusing symptoms:

Eyeball deflection: There are many kinds of strabismus, the most common is the inward deflection of the eyeball, medically known as esotropia, commonly known as "to the eye", "cross-eyed". The eyeball is deflected outward, called exotropia, commonly known as "oblique white eye." Of course, strabismus does not only refer to the situation in which the relative positions of the two eyes are obviously deformed, but also includes the case where the inclination is small, the surface is not easy to be perceived, and the binocular vision is not normal, and the cases where there is no oblique position at all but the eyes are abnormal. . Therefore, the concept of strabismus should be understood as the abnormal position of both eyes and the abnormality of both eyes.

Eye movement deflection: The imbalance of the muscle strength of the eye wall caused by various reasons produces the deflection of the eye movement.

Different axes of the eye: excessive axial lengthening is a risk factor and intermediate link in the formation and development of high myopia fundus lesions, but it is not the initial cause.

After poisoning, there are dizziness, headache, nausea, vomiting, abdominal pain, diarrhea, lethargy and insomnia. Occasionally, epileptic seizures may occur. In severe cases, A-S syndrome can occur. The child suddenly loses consciousness. His face is pale, his lips are blue, his eyes are upturned and fixed, his whole body muscles are stiff, his limbs are convulsing, his breathing is short or even stopped, his arrhythmia is abnormal, and his heart sound and pulse disappear. Electrocardiogram showed ventricular flutter, ventricular fibrillation, ventricular tachycardia or arrest; intermittent sinus tachycardia and ventricular premature beat, ST segment changes and obvious U wave. This syndrome often occurs between 45 minutes and 30 hours after taking the drug.

The clinical manifestations of Asperger's syndrome are transient loss of consciousness, pale complexion, purpura, decreased blood pressure, incontinence, and convulsions. Heartbeat stops for 2-3 seconds and can be dizzy; 4-5 seconds is pale and ambiguous; 5-10 seconds can cause syncope; more than 15 seconds, convulsions and purpura occur. The appearance and severity of symptoms are related to the onset of illness and patient tolerance. Heart sound disappeared, pulse and blood pressure were not detected at the onset of symptoms, and EKG showed sinus rest, ventricular tachycardia, ventricular fibrillation, or severe sinus depression.

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