老年人高血压病治疗不当,血压骤降,可引起脑梗塞。本文报道肌注利血平诱发的脑梗塞3例。 [例1] 男,73岁。高血压病史10余年。平素血压25.3～22.6/14.7～16kPa。晨起活动中突然出现头痛、呕吐、烦燥。自服2片复方降压片。6h后症状无缓解而入院。查:血压32/16kPa,神清语明,视乳头水肿。头部CT示轻度脑水肿。诊断为高血压脑病。当晚静点20％甘露醇250ml,肌注利血平1mg。2h后血压20/ Improper treatment of hypertension in the elderly, sudden drop in blood pressure, can cause cerebral infarction. This article reports 3 cases of cerebral infarction caused by intramuscular injection of reserpine. [Example 1] Male, 73 years old. Hypertension history of more than 10 years. Plain blood pressure 25.3 ~ 22.6 / 14.7 ~ 16kPa. Morning activities suddenly headache, vomiting, irritability. Self serving 2 tablets of antihypertensive compound. After 6h without symptoms and hospitalization. Check: blood pressure 32 / 16kPa, clear statement, papilledema. Head CT showed mild cerebral edema. Diagnosis of hypertensive encephalopathy. Quiet night 20% mannitol 250ml, muscle injection reserpine 1mg. After 2h blood pressure 20 /