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1病历摘要女,67岁。因脑梗死伴糖尿病于2009-11入院。查体:T38.1℃,P 90次/min,R 20次/min,BP 100/60 mm Hg,FBG12.3 mmol/L。CT示基底节区梗塞灶。既往无药物过敏史。治疗:(1)静脉滴注疏血通、血塞通;(2)皮下注射低分子肝素钙;(3)皮下注射胰岛素。入院2 d后主任医师查房加用参
1 medical record summary female, 67 years old. Because of cerebral infarction with diabetes in 2009-11 admission. Examination: T38.1 ℃, P 90 beats / min, R 20 beats / min, BP 100/60 mm Hg, FBG 12.3 mmol / L. CT showed basal ganglia infarction. Past history of drug allergy. Treatment: (1) intravenous infusion Shuxuetong, Xuesaitong; (2) subcutaneous injection of low molecular weight heparin; (3) subcutaneous injection of insulin. Admission 2d after the chief physician ward plus use reference