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1例52岁男性患者,因外伤给予单唾液酸四己糖神经节苷脂40mg加入0.9%氯化钠注射液250mL,1次/d静脉滴注;天麻素注射液200mg,2次/d肌内注射,共治疗14d。用药8d后患者突然出现四肢酸痛,伴肢体无力。10d后四肢无力加重,无法直立,伴有多汗。查体示四肢肌力、肌张力降低,腱反射未引出。脑脊液检查显示蛋白-细胞分离。给予营养周围神经、脱水、改善脑细胞代谢治疗,并未再使用单唾液酸四己糖神经节苷脂和天麻素注射液。15d后病情好转。
A 52-year-old male patient was given a single intravenous infusion of 40mg monosialotetrahexosyl ganglioside and 0.9% sodium chloride injection once a day for trauma. Gastrodine injection 200mg twice a day Internal injection, a total of 14d. 8d after treatment patients suddenly appear limb pain, with limb weakness. After 10d limbs weakness, unable to erect, accompanied by hyperhidrosis. Examination showed limb muscle strength, muscle tone decreased, tendon reflex did not lead. Cerebrospinal fluid examination revealed protein-cell separation. Give nutrition peripheral nerve, dehydration, improve the metabolism of brain cells, did not reuse monosialotetrahexosyl ganglioside and gastrodin injection. Condition improved after 15d.