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患者男,66岁,干部,因近期出现右上腹胀痛伴食欲不振而入院。入院后查体心肺无异常。观察:患者精神、食欲欠佳,测量生命体征正常。B超诊断:肝内胆管结石。医嘱予以抗炎、静脉点滴能量合剂及复方氨基酸。入院4日后,患者精神食欲好转,自感右上腹胀痛减轻。本人要求做脑部CT检查,CT结果提示:脑萎缩。根据病人有记忆力明显减退现象,医嘱:肌注脑活素5ml,每日1次。第一天首次肌注脑活素15分钟后,患者主诉:头晕、恶心、心慌、胸闷、四肢发麻,测量脉搏100次/分,血压14/10kPa。即报告医师,遵医嘱立即停止正在静脉
Male patient, 66 years old, cadre, because of the recent emergence of right upper quadrant abdominal pain with loss of appetite and admission. Physical examination after admission, no abnormal heart and lung. Observation: The patient’s spirit, poor appetite, the measurement of vital signs normal. B-ultrasound diagnosis: Intrahepatic bile duct stones. Medical advice to anti-inflammatory, intravenous energy mixture and compound amino acids. 4 days after admission, the patient’s mental appetite improved, relieve pain from the right upper quadrant pain. I asked to do brain CT examination, CT results suggest: brain atrophy. According to the patient significantly decreased memory, doctor’s advice: intramuscular injection of brain activin 5ml, 1 day. The first day after the first intramuscular injection of brain activin 15 minutes, the patient complained of: dizziness, nausea, palpitation, chest tightness, numbness, measuring pulse 100 beats / min, blood pressure 14 / 10kPa. The report physician, as directed immediately stop the vein