Baehr G R, Romano M, Young J M
Pediatr Emerg Care. 1986 Sep;2(3):183-5. doi: 10.1097/00006565-198609000-00009.
A 13-year-old female ingested an acute overdose of cyproheptadine hydrochloride (Periactin) and presented for treatment. She manifested all the classic signs and symptoms of an acute antihistamine overdose, including psychosis, except for miotic, minimally reactive pupils. The patient was supportively managed. All sequelae of the ingestion resolved within four days, and the child was released from the hospital. We discuss the unusual presentation of miotic pupils in an acute cyproheptadine overdose.
一名13岁女性急性过量服用盐酸赛庚啶（佩丽胺）后前来接受治疗。她表现出急性抗组胺药过量的所有典型体征和症状，包括精神错乱，但瞳孔没有缩小，对光反应微弱。对该患者进行了支持性治疗。摄入药物的所有后遗症在四天内得到缓解，患儿出院。我们讨论了急性赛庚啶过量时瞳孔缩小这一不寻常表现。
