论文部分内容阅读
患者,女71岁,因左侧肢体活动不灵住院。以往无美尼尔氏病及其它眩晕疾病史,体检:神清,左侧中枢性面瘫,左侧上、下肢肌力Ⅳ级,左侧巴氏征阳性,住院第2天左侧偏瘫,左上、下肢肌力0级,CT检查为基底节区脑梗塞。给予甘露醇、脑脉康静滴,病情逐渐好转,左上肢肌力0级,左下肢肌力恢复至Ⅳ级。住院第40天给予生理盐水250mL加入精制蝮蛇抗栓酶1.0静滴。滴完后约2小时患者起床时感到眩晕,伴轻度恶心,闭眼静卧缓解。起床上述症状仍发作,血压、心电图检查均正常。次日继续给予精
The patient, female, 71 years old, was not hospitalized due to immobilization of the left limb. Past history of non-Meniere’s disease and other vertigo, physical examination: Shen Qing, left facial paralysis on the left, upper left and lower extremity muscle strength grade IV, positive Pap left sign, left hemiplegia on the second day of hospitalization, left , Lower limb muscle strength 0, CT examination for basal ganglia infarction. Give mannitol, brain vein Kang intravenous infusion, the condition gradually improved, left upper limb muscle strength 0, left lower extremity muscle strength recovered to Ⅳ level. On the 40th day of hospitalization, 250 mL saline was added to the purified viper antithrombin 1.0 intravenously. About 2 hours after dripping, the patient feels dizzy when getting up, with mild nausea and restless eyes closed. Get up the above symptoms are still attacks, blood pressure, ECG are normal. The next day continue to give fine