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1病例报告例1患者男,59岁。因摔伤致颈背部疼痛伴四肢活动障碍1天入院。诊断为颈髓挥鞭伤,脊髓型颈椎病(C4-C5),四肢不完全瘫痪。给予甲钴胺0.5mg溶于0.9%氯化钠注射液10ml中静脉注射,每周3次。首次注射至1/3量时,患者出现寒战、继之发热症状,体温38.6℃,无皮疹及皮肤瘙痒。立即停止注射,给予乙醇擦浴、冰袋降温等,1h后症状逐渐缓解。例2患者男,62岁。因高处坠落致腰背疼痛伴双下肢感觉活动障碍1天入院。诊断为胸12椎体骨折并脊髓损伤(Frankel A),腰3椎体压缩骨折。给予甲钴胺0.5mg溶于0.9%氯化钠
Case report 1 patient male, 59 years old. Back pain due to falls caused by neck movement and limb movement disorders 1 day admission. Diagnosed with spinal cord whiplash injury, cervical spondylotic myelopathy (C4-C5), limbs are not completely paralyzed. Give mecobalamin 0.5mg dissolved in 0.9% sodium chloride injection 10ml intravenous injection, three times a week. The first injection to 1/3 volume, the patient chills, followed by fever, body temperature 38.6 ℃, no rash and itchy skin. Immediately stop injection, given ethanol sponge bath, ice pack cooling, 1h after the symptoms gradually eased. Example 2 patient male, 62 years old. Lower back pain due to height caused by lower extremity sensory dysfunction 1 day admission. Diagnosis of chest 12 vertebral fractures and spinal cord injury (Frankel A), lumbar 3 vertebral compression fractures. Methylcobalamin 0.5 mg was dissolved in 0.9% sodium chloride