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中风可以是拟交感神经药物(Sgmpathomimetic drugs SMD)治疗中的一种严重并发症,与中风有关的SMD包括麻黄素等。作者报道三例与麻黄素有关的中风。 例1,男37岁,为“快速”减肥连续三周每天服10片“白十字”(white—cross)药片,突然右偏身感觉缺失,MRI示左丘脑梗塞,病人剩下的药片用气相色谱法(GC—MS)分析只含麻黄素活性成分(15.3mg/片)。例2,男42岁,发现死于家中,尸体旁有“白十字”药片,过去有高血压和药物滥用史,23年来每天服10～20片“白十字”药片,尸检有严重的脑动脉粥样硬化,脑右侧大量新鲜的出血和脑
Stroke can be a serious complication in the treatment of Sgmpathomimetic drugs SMD, and stroke-related SMDs include ephedrine and the like. The authors report three cases of ephedrine-related stroke. Example 1 Male 37 years old, “fast” to lose weight Take 10 tablets of “white-cross” daily for three consecutive weeks. Suddenly, the right hemispheric sensory loss was found. MRI showed left thalamus infarction. The rest of patients’ Chromatography (GC-MS) analysis only contained the ephedrine active ingredient (15.3 mg / tablet). Example 2, male, 42 years old, found dead at home, beside the body with “White Cross” pills, past history of high blood pressure and drug abuse, 23 to 20 tablets per day, “White Cross”, autopsy with severe cerebral artery Atherosclerosis, a large number of fresh bleeding and brain right brain