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患者女,58岁,因反复心悸,胸闷,全身乏力并伴有轻度心绞痛,于1999年11月就诊。检查:神志清,BP 120/85mmHg,HR 98次/min,未闻及器质性杂音。心电图检查显示窦性心律,T波倒置,ST段下移≥0.05mv。诊断:冠心病。治疗:给予黄芪注射液 20ml加入5％葡萄糖注射液 250ml中静滴,qd。第1、2天静滴后患者自感病症明显减轻,第 3天静滴后约 50min,出现畏寒,发热(T 38.9℃)。给予安痛定 2ml肌注,APC片po,症状逐渐缓解。调整治疗方案,改为刺五加注射液60ml加入5％葡萄糖注射液250ml中静滴,畏寒,发热等症状未再出现。
The female patient, aged 58, visited November 1999 for repeated palpitations, chest tightness, generalized malaise and mild angina. Check: delirious, BP 120 / 85mmHg, HR 98 beats / min, no smell and organic noise. ECG showed sinus rhythm, T wave inversion, ST segment down ≥ 0.05mv. Diagnosis: Coronary heart disease. Treatment: give Astragalus injection 20ml added 5% glucose injection 250ml intravenous infusion, qd. On the first and second days after intravenous infusion, patients’ symptoms were relieved. After intravenous drip for about 50 minutes on day 3, chills and fever (T 38.9 ℃) occurred. Given analgesic 2ml intramuscular injection, APC po po, symptoms gradually eased. Adjust the treatment plan, instead of Acanthopanax injection 60ml add 5% glucose injection 250ml intravenous infusion, chills, fever and other symptoms no longer appear.