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患者,男,73岁.因头晕、头痛、左侧肢体麻木半月余入院.查体:血压18/12kPa,呼吸21次/分,脉80次/分,意识清,语言流利,思维良好.心肺听诊未见异常,四肢自主运动正常,肌力肌张力对称,左侧肢体痛觉略减弱.头颅CT示右侧基底节区,右侧侧脑室旁脑梗塞.胸片:主动脉硬化.心电:正常心电图.临床诊断脑血栓形成、脑供血不足.给予扩张血管,活化脑细胞,改善微循环治疗.在第一疗程静点“刺五加”的第七天因皮肤出现红疹过敏停药1周,后改用“心血通注射液”(150ml液体内30ml心血通).在用药第五天的静点中患者突然头晕,心悸,呼吸急促,颜面苍白,皮肤多汗,心音低弱,脉不清,四肢厥冷,恶心,呕吐1次为胃内容物.测血压9/4kPa,考虑为过敏性休克,立即停止静点,吸氧,肌注“非那根”25mg、肾上腺素1mg、地塞米松10mg,之后续点生理盐水150ml内加“阿拉明”20mg,多巴胺20mg.2小时后血压恢复正常、症状缓解.
Patients, male, 73 years old .Due to dizziness, headache, left limb numbness more than half of patients admitted to the hospital Physical examination: blood pressure 18 / 12kPa, breathing 21 beats / min, pulse 80 beats / min, clear consciousness, fluent language, good mind. Auscultation no abnormalities, normal limbs movement, muscle tone muscle symmetry, left limb pain slightly weakened .Craniotome CT showed right basal ganglia, right lateral cerebral ventricle infarction .Chest: aortic sclerosis .Electrocardiogram: Normal ECG. Clinical diagnosis of cerebral thrombosis, cerebral insufficiency given to dilate blood vessels, activation of brain cells, improve microcirculation in the first course of static point “Acanthopanax” the seventh day due to skin rash allergy withdrawal 1 Week, after the switch to “Xueshuantong injection” (150ml liquid 30ml heart.) On the fifth day of the patient calm sudden dizziness, palpitations, shortness of breath, pale face, sweaty skin, weak heart, pulse Unclear, extremities Jueleng, nausea, vomiting 1 for the stomach contents measured blood pressure 9 / 4kPa, considered as anaphylactic shock, stop quiescent point immediately, oxygen, intramuscular injection of “phenanthrene” 25mg, epinephrine 1mg, Dexamethasone 10mg, followed by point 150ml saline plus “Alamin” 20mg, dopamine 20mg 2 hours after the resumption of blood pressure Normal, symptoms relieved.