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患者潘某,男,40岁,因突发性左侧肢体瘫痪4d。外院CT诊断“右侧基底节区梗塞”入院。临床采用蝮蛇抗栓酶(辽宁抚顺青峰制药厂生产,批号880605)治疗,以5%葡萄糖液500ml加蝮蛇抗栓酶0.75U静滴,l/d,15d为一疗程,配合针灸、理疗,疗效显著。经过近2个疗程的治疗,患者左上肢肌力由0级恢复到Ⅱ级,左下肢肌力由Ⅱ级恢复到Ⅳ级。但在进行第2疗程的最后一次治疗中,突然出现意识丧失,全身瘫痪。查血压19.5/10.6kPa(146/80mmHg),心率108/min,呼吸不规则,迅速组织抢救,6h后做腰穿检查,脑脊液呈血性,压力偏高。确诊为脑出血,经抢救无效,于次日下午死亡。患者平素体健,血压为16～17.3/10.6～12kPa,无高血压病史,临床治疗期间每周查血小板一次,为145～170×10~9/L,血纤维蛋白原及其它各项血液检查均正常。
Panmou patients, male, 40 years old, due to sudden paralysis of the left limb 4d. Outside the hospital CT diagnosis “right basal ganglia infarction ” admission. Clinical use of viper antithrombin (Liaoning Fushun Qingfeng Pharmaceutical Factory production, batch number 880605) treatment, 5% glucose solution 500ml plus vitex antisecretase 0.75U intravenous infusion, l / d, 15d for a course of treatment, with acupuncture and physiotherapy ,Significant effect. After nearly two courses of treatment, left upper limb muscle strength recovered from grade 0 to grade II, left lower limb muscle strength recovered from grade Ⅱ to grade Ⅳ. However, in the last treatment of the second course of treatment, a sudden loss of consciousness, paralysis. Check blood pressure 19.5 / 10.6kPa (146 / 80mmHg), heart rate 108 / min, irregular breathing, rapid tissue salvage, 6h after lumbar puncture, cerebrospinal fluid was bloody, high pressure. Confirmed as cerebral hemorrhage, after rescue was invalid, died the next afternoon. Patients usually have a healthy body, blood pressure of 16 ~ 17.3 / 10.6 ~ 12kPa, no history of hypertension, check the platelet once a week during the clinical treatment, 145 ~ 170 × 10 ~ 9 / L, fibrinogen and other blood tests All normal.