论文部分内容阅读
男患,66岁,住院号903401。因反复头昏,诊断高血病已十余年。1990年1月23日在安静状态时发生右侧肢体活动障碍、口角歪斜、言语含糊而住入本院。诊断为脑梗塞。查体心律齐,肺阴性,心电图示窦性心律,不完全右束枝传导阻滞。入院后用细胞活化剂,丹参制剂静脉滴注治疗,能扶杖步行,口角恢复正常,言语清晰。心电图复查同入院时所见,5月12日出院。次日患者又到外院用蝮蛇抗栓酶0.5单位/日静滴治疗5月23日滴注第12针时,感心悸,出冷汗,该院查心图电示心房纤颤,次日示阵发性室上性心动过速,频发性早搏,27日再次转入本院。查体Bp 21.2/11.9kPa,血脂及电解质检查正常。心电图示窦性心律,频发房早。入院后经用极化液、胺碘酮治疗连续三日后复查心电图示窦性心律,不完全右束支传导阻滞。停用以上二药,继用丹参治疗,6月26日痊愈出院。
Male suffering, 66 years old, hospital number 903401. Due to repeated dizziness, diagnosis of hyperlipidemia has more than ten years. January 23, 1990 in the quiet state of the right limb movement disorder, skewed mouth, vague words and admitted to our hospital. Diagnosis of cerebral infarction. Physical examination of Qi, lung-negative, sinus rhythm of ECG, incomplete right bundle branch block. After admission with cell activators, intravenous infusion of Danshen agents can help walking sticks, mouth back to normal, speech clearly. ECG review with the hospital when seen, May 12 was discharged. The next day the patient went outside the hospital with vitex antithrombin enzyme 0.5 units / day intravenous drip on May 23 treatment of the first 12 needle, palpitation, a cold sweat, the hospital check the ECG showed atrial fibrillation, the next show Paroxysmal supraventricular tachycardia, frequent premature beats, again transferred to the hospital on the 27th. Physical examination Bp 21.2 / 11.9kPa, blood lipids and electrolytes were normal. ECG shows sinus rhythm, frequent room early. After admission by the polarization solution, amiodarone treatment for three consecutive days after review of ECG showed sinus rhythm, incomplete right bundle branch block. Stop the above two drugs, following the treatment with Danshen, June 26 healed and discharged.