论文部分内容阅读
目的通过暂时性失明1例分析原因。方法输注注射用血凝酶1kU,氨甲环酸0.4g,垂体后叶素注射液6U静注(>10min),垂体后叶素注射液12U加生理盐水250ml。结果在次日继续静滴氨甲环酸0.4g后3min左右患者出现双眼失明,立即送至眼科,加用丹参注射液250ml静滴,尼莫地平10mg静滴,用药48h后视力恢复。结论应避免氨甲环酸与凝血酶原复合物联用,防止血栓形成,阻止暂时性失明发生。
Objective To analyze the cause of temporary blindness by one case. Methods Injections of 1kU hemagglutinin, 0.4g tranexamic acid, 6U intravenous injection of pituitrin (> 10min), and 12ml of pituitrin injection plus normal saline 250ml. The results in the next day after intravenous tranexamic acid 0.4g 3min or so patients with binocular blindness, immediately sent to ophthalmology, plus Salvia miltiorrhiza injection 250ml intravenous infusion of nimodipine 10mg, 48h after the visual acuity was restored. Conclusions Tranexamic acid should be avoided in combination with prothrombin complex to prevent thrombus formation and prevent temporary blindness.