尼可林(胞二磷胆硷)在国内已被广泛应用于神经外科病人的苏醒治疗,对脑血管意外的患者也起到了恢复意识、改善记忆和智能障碍的疗效.对多梗塞性痴呆的治疗则报道不多.我科于1983年11月20日收治一位动脉硬化性脑梗塞呈现多梗塞性痴呆的患者,经用尼可林治疗后,对偏瘫上肢功能的恢复及痴呆症状的改善,取得了显著的疗效.现将病例报告如下.翟××,男,67岁,干部,住院号21346.有高血压病二十余年,血压最高时可达200/110,服用降压药一般稳定在160/80～90,一年来记忆力减退,思维贫乏,近月来出现多次发作性右腿无力,发颤.入院前晚23时睡眠中醒来上厕所途中突然跌倒,右肢体无力,当时神清,无头痛、呕吐、大小便失禁,测血压150/80,服安宫牛黄丸半丸后入睡,次晨见嗜睡,右肢体轻瘫而于1983年11月20日急诊入院.查体:体温36.8℃, Nicorandil (citicoline) has been widely used in the domestic patients for the recovery of neurosurgeons in the recovery of patients with cerebrovascular accident also played a recovery consciousness, to improve the memory and mental retardation effect of multi-infarct dementia Treatment reported little.Our department in November 20, 1983 admitted to a arteriosclerosis infarction patients with multi-infarct dementia, after treatment with niacin, the recovery of upper limb function and improve the symptoms of dementia , Made a significant effect.Now the case report is as follows.Zhai × ×, male, 67 years old, cadres, hospital number 21346. Hypertension more than twenty years, the highest blood pressure up to 200/110, taking antihypertensive drugs Generally stable at 160/80 ~ 90, a year of memory loss, poor thinking, appeared in recent months, multiple episodes of weakness of the right leg, trembling.When the night before admission to sleep 23 wake up on the way to the bathroom sudden fall, right limb weakness At that time, God clear, no headache, vomiting, incontinence, blood pressure test 150/80, serving Angongniuhuang pills half a pill to fall asleep, see the morning drowsiness, right limb paralysis and in November 20, 1983 emergency admission. Physical examination: body temperature 36.8 ℃,