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1 病例介绍患者,男,39岁,因无明显诱因左眼视物模糊,视物变小伴发暗20余天于1996年5月9日入院。查生命体征正常。眼科情况:左眼0.4,右眼1.0,左眼底视乳头大小。颜色正常,黄斑部轻度水肿,可见点状黄白色渗出。诊断:中心性浆液性视网膜炎。给予生理盐水250ml,维脑路通1.0g,胞二磷胆碱0.5g,三磷酸腺苷40mg静滴。液体滴完后,患者自行离开病房,约过15～30min,患者突感全身不适,寒战,0.5h 后发热,体温38℃上下,自服降温药后好转。第二天第三天重复出现第一天表现,给予肌注非那根25mg,口服解热药后缓解,怀疑胞二磷胆碱
1 case description The patient, male, 39 years old, because there is no obvious incentive left eye blurred vision, small visual acuity more than 20 days were admitted on May 9, 1996. Check the normal signs of life. Ophthalmology: left eye 0.4, right eye 1.0, left eye bottom of the nipple size. Normal color, macular mild edema, visible yellowish white oozing. Diagnosis: Central serosal retinitis. Give normal saline 250ml, Venoruton 1.0g, citicoline 0.5g, adenosine triphosphate 40mg intravenous infusion. After the liquid drip finished, the patient left the ward on their own, about 15 ~ 30min, the patient suddenly felt general malaise, chills, fever 0.5h, body temperature 38 ℃ up and down, since the sub-cooling drug improved. On the third day of the next day, the first day of repetition appeared, giving intramuscular injection of phenanthrene 25mg, oral antipyretics after remission, suspected citicoline