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例1,男,80岁,1996年2月18日入院。1周前受凉,咽痛,右侧耳廓出现红色丘疱疹。门诊给青霉素,用药3天后,突感眩晕,伴恶心、呕吐而入院。查体:BP 21.3/16.0kPa,疱疹个别有糜烂,右耳听力明显减退,站立不稳。四肢肌力正常,无病理反射,脑膜刺激征阴性。给5％葡萄糖200ml加青霉素800万,1次/日静滴;临时给50％葡萄糖加维生素C 2.5g静注。入院5天后口角歪斜,右眼不能闭合,右侧额纹消失.CT诊断为多发性脑梗塞;皮层下动脉硬化性脑病;脑萎缩。临床诊断:膝状神经节综合征。给5％葡萄糖200ml加胞二磷胆碱0.5eg维脑路通0.4g维生素C 5.0g,1次/日静滴。并口服病毒灵及维生素类药物。治疗35天痊愈出院。 例2,男,46岁,1996年3月6日入院。年初自感
Example 1, male, 80 years old, admitted to hospital on February 18, 1996. 1 week ago, cold, sore throat, red herpes appear on the right auricle. Out-patient to penicillin, medication 3 days, suddenly felt dizziness, with nausea, vomiting and admission. Examination: BP 21.3 / 16.0kPa, individual herpes erosion, right ear hearing loss decreased significantly, standing instability. Limb muscle strength is normal, no pathological reflex, meningeal irritation sign negative. To 5% glucose 200ml plus penicillin 8000000, 1 times / day intravenous infusion; temporarily to 50% glucose and vitamin C 2.5g intravenously. 5 days after admission skew, the right eye can not be closed, right frontal pattern disappeared .CT diagnosis of multiple cerebral infarction; subcortical arteriosclerotic encephalopathy; brain atrophy. Clinical diagnosis: geniculate synapse syndrome. Give 5% glucose 200ml plus citicoline 0.5eg Venoruton 0.4g vitamin C 5.0g, 1 / day intravenous infusion. And oral viral spirit and vitamin drugs. 35 days cured cured. Example 2, male, 46 years old, admitted to hospital on March 6, 1996. Feeling at the beginning of the year