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右旋糖酐-40(dextran-40,简称为低右)常用于治疗缺血性中风,如短暂性缺血性发作(TIA)、脑梗死等。其不良反应较少见,偶见发热、荨麻疹、出血等。致急性肾功能衰竭(简称肾衰)者罕见。最近我们遇到1例。 现报告如下。 患者,男性,68yr。因左侧肢体活动不利,吐字不清2d,以“右脑梗死”,于1989年9月15日收住院。查体:BP16/9.3kPa(120/70mmHg),神志清,心肺(—)。左侧鼻唇沟变浅,伸舌偏左,两眼底(—)。颈无抵抗,左上下肢肌力Ⅲ级,左侧巴彬斯基
Dextran-40 (dextran-40, referred to as low right) commonly used in the treatment of ischemic stroke, such as transient ischemic attack (TIA), cerebral infarction and so on. The adverse reactions are rare, occasional fever, urticaria, bleeding and so on. Acute renal failure (referred to as renal failure) are rare. Recently we encountered 1 case. The report is as follows. Patient, male, 68yr. Due to adverse left limb activity, unclear articulation 2d, “right cerebral infarction”, on September 15, 1989 admitted to hospital. Physical examination: BP16 / 9.3kPa (120 / 70mmHg), clear mind, cardiorespiratory (-). On the left nasolabial fissure shallow tongue extension left, both eyes (-). Neck non-resistance, left upper limb muscle strength Ⅲ grade, left Babinski