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患者男,71岁。不稳定性心绞痛10~+年入院。肝素类药物治疗经过:分别首次,第45天,静脉注射普通肝素6250U,每12小时一次连续6天。第75天,第120天分别给速避凝0.41ml 皮下注射,每12小时一次连续6天,法安明5000U,皮下注射每12小时一次连续8天。使用肝素类药物期间,心绞痛发作次数明显减少。心电图显示:心肌供血、心律失常呈波动性改变。最后一次停药后第9天,出现记忆力明显减退,反应迟钝,双侧肢体轻度功能障碍。经 CT 检查证实,双侧多发性腔隙性脑梗死。按急性脑血管病治疗,病情渐稳定
Patient male, 71 years old. Unstable angina 10 ~ + year hospitalization. After heparin treatment: respectively, the first 45 days, intravenous injection of unfractionated heparin 6250U, once every 12 hours for 6 days. The first 75 days, the first 120 days were given to avoid the hypothyroidism 0.41ml subcutaneous injection, once every 12 hours for 6 consecutive days, the method of ambion 5000U, subcutaneous injection once every 12 hours for 8 days. During the use of heparin, the number of angina attacks was significantly reduced. ECG showed: myocardial blood supply, arrhythmia showed a volatile change. On the 9th day after the last withdrawal, there was a marked decline of memory, unresponsiveness and mild dysfunction of bilateral limbs. Confirmed by CT examination, bilateral multiple lacunar infarction. According to the treatment of acute cerebrovascular disease, the condition gradually stabilized