论文部分内容阅读
患者男,65岁,1999年11月7日因受惊吓出现头晕、心悸,同时伴恶心,呕吐。门诊测血压为160/110mmHg,心电图示房颤。给予药物治疗未见明显缓解,于11月10日入院治疗。查体:T 35.4℃,P 68次/min,R 18次/min,BP 150/110mmHg。患者入院后,口服消心痛、血脂康、阿司匹林、卡托普利、心痛定,并且每日上午静脉滴注丹参注射液 20ml+10％葡萄糖注射液 500ml。治疗后症状明显改善。11月14日查BP 145/100mmHg。在原用药基础上于当日晚间加用吡拉西坦(脑复康)注射液 250ml(含脑复康8.0g)。药液滴完后患者即感觉颅内血管搏动、头晕,恶心,尚可忍受。约静卧休息2h,症状消失。11月15日晚,患者再次滴注脑复康注射液250ml,5min后即感颅内血管剧烈搏动,头部剧烈疼痛,头晕、恶心、心悸、大汗,四肢乏力。查 BP 150/60mmHg。未用药,经静卧3h症状缓解,直至第二日清晨症状逐渐消失。11月16日停用脑复康注射液,其他药物维持,患者未再出现此症状。
Male, 65 years old, November 7, 1999 Frightened by dizziness, palpitations, accompanied by nausea and vomiting. Outpatient blood pressure test for the 160 / 110mmHg, AF atrial fibrillation. No significant relief given medication, admitted to hospital on November 10 treatment. Examination: T 35.4 ℃, P 68 times / min, R 18 times / min, BP 150 / 110mmHg. Patients admitted to hospital, oral anti-heartache, Xuezhikang, aspirin, captopril, nifedipine, and daily morning intravenous infusion of 20ml Danshen injection + 10% glucose injection 500ml. After treatment, symptoms improved significantly. November 14 check BP 145 / 100mmHg. In the evening on the basis of the original drug plus piracetam (Naofukang) injection 250ml (containing Naofukang 8.0g). After the drug drops that the patient feels intracranial vascular beats, dizziness, nausea, can tolerate. Rest for about 2h, symptoms disappear. On the evening of November 15, the patient once again instilled 250 mg of Naofukang injection. After 5 minutes, the patient felt violent pulsation of the intracranial vessels, severe head pain, dizziness, nausea, palpitation, sweating and weakness of the extremities. Check BP 150 / 60mmHg. No medication, after lying 3h symptoms, until the next morning the symptoms gradually disappear. November 16 disable the brain Fukui injection, other drugs to maintain, the patient no longer appear this symptom.