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我科有3例腔隙性脑梗塞的病人在输液反应后发生大面积脑梗塞,现报告如下: 例1,男,68岁。以左侧肢体麻木,口角歪斜一天于1987年5月23日入院。查体:BP20/18kPa,左侧鼻唇沟浅,左手握力弱。既往患高血压,动脉硬化多年。头部CT示右基底节区腔隙性脑梗塞。病人入院后给维脑路通0.6静点/日,住院第3天在输液到300ml时突然出现寒战,立即停用静点,结地塞米松10mg静注,非那根25毫克肌注,病人相继出现高热,头痛,言语不清。右侧肌力0级,巴彬斯基征阳性。第3天头部CT示右侧颞顶及额叶后部呈大片低密度区,边界不清,右侧侧脑室受压。诊断大面积脑梗塞。例2,男62岁,以左侧肢体麻木,活动笨拙四天诊于1992年3月26日入院。查体:BP30/20kPa,左
My department has 3 cases of lacunar infarction in patients after transfusion reaction of large area cerebral infarction, are as follows: Example 1, male, 68 years old. Left limb numbness, skewed one day in the mouth on May 23, 1987 admitted. Physical examination: BP20 / 18kPa, left nasolabial fold shallow, left hand grip weak. Previously suffering from hypertension, arteriosclerosis for many years. Head CT showed right basal ganglia lacunar infarction. Patient admitted to the Venus Lu Tong 0.6 points / day, hospitalized 3 days in the infusion to 300ml when a sudden chills, immediately stop the static point, dexamethasone 10mg intravenous injection of non-root 25 mg intramuscular injection, the patient Have high fever, headache, unclear speech. Right side muscle 0, Babinski sign positive. On the third day, the frontal CT showed a large area of low density on the right temporal crest and the frontal lobe, with unclear boundary and pressure on the right lateral ventricle. Diagnosis of large area cerebral infarction. Example 2, male 62 years old, left numbness, clumsy activity Four days in March 26, 1992 admission. Physical examination: BP30 / 20kPa, left