论文部分内容阅读
例1,男性,50岁,因左侧肢体活动不灵,语言不利2天入院,诊为脑梗塞(CT示右侧基底节区多发性腔隙性脑梗塞)。既往有高血压病史 5年。查体:BP 150/105mmHg(20/14kPa),心肺(一),左侧肌力Ⅲ级、腱反射减弱,左侧可氏征及汉本奥姆氏征(+),入院后一周给吡拉西坦(脑复康)注射液5g,加入0.9％氯化钠注射液250ml中静滴,qd,药液滴至 150ml时,患者出现四肢末梢搔痒不止,胸闷、气短,头晕等症状,立即停止输液,给地塞米松 10mg iv,非那根 50mg im,20min后 T 39.5℃,2h后症状逐渐消失。第2天继续静滴该药,再次出现上述症状,对症处理后症状再次消失。以后改用其他药物静滴,未出现类似症状。
Example 1, Male, 50 years old, left cerebral infarction (CT showed multiple parietal nodules with multiple lacunar infarcts) due to incapacitating activity on the left limb and adulthood 2 days admissions. Previous history of hypertension 5 years. Physical examination: BP 150 / 105mmHg (20 / 14kPa), cardiopulmonary (a), left muscular strength grade Ⅲ, tendon reflexes, the left can be sign and Han Ben Aum’s sign (+ 5mg of racitin (Naofu Hong) injection, adding 0.9% sodium chloride injection 250ml intravenous infusion, qd, drug drops to 150ml, patients with limbs itching more than appear, chest tightness, shortness of breath, dizziness and other symptoms immediately Stop infusion, to dexamethasone 10mg iv, finagen 50mg im, T 39.5 ℃ after 20min, 2h after the symptoms gradually disappear. On the second day continue intravenous infusion of the drug, the above symptoms again, symptomatic treatment symptoms disappear again. After switching to other drugs intravenous infusion, did not appear similar symptoms.