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1992年10月4日我院收治一例风湿性心脏病伴脑梗塞的患者,在静滴素高捷疗(Solcoseiyl)第15天后发生局部组织急性坏死。现报告如下: 病史摘要李某、女,53岁;1992年10月4日因风湿性心脏病发作并伴有脑梗塞为改善脑循环及代谢障碍,应用素高捷疗注射液,每日一次,剂量10ml加入5％葡萄糖注射液300ml静脉滴注,滴速30～40滴/min,用至第15天,曾用的一静脉穿刺点周围有6×3.5cm的无菌性坏死区,局部颜色呈暗色,皮肤无破损,且周围有散在性的缺血性斑块,肤色发白当时给予利多卡因氯化钠注射液和地塞米松注射液于局部作环形封闭,一日二次,且局部给予红外线照射20～30′,并用75％ALC湿敷,一日3—5次。第二天,坏死局部有少量渗出液,皮肤呈暗黑色或暗紫色,坏
On October 4, 1992, a patient with rheumatic heart disease and cerebral infarction was admitted to our hospital. Acute necrosis of the local tissue occurred 15 days after intravenous infusion of Melcoseiyl. Now report as follows: a summary of the history of Lee, female, 53 years old; October 4, 1992 due to rheumatic heart disease and cerebral infarction in order to improve cerebral circulation and metabolic disorders, the application of Sucozote injection, once daily , The dose of 10ml added 5% glucose injection 300ml intravenous drip, drip 30 ~ 40 drops / min, with the first 15 days, had a venous puncture around a 6 × 3.5cm sterile necrosis area, local Color dark, no damage to the skin, and surrounded by scattered ischemic plaques, skin whitening was given lidocaine sodium chloride injection and dexamethasone injection in the local ring closed for the second day, And given local infrared irradiation 20 ~ 30 ’, and 75% ALC wet compress, 3-5 times a day. The next day, a small amount of exudate local necrosis, the skin was dark black or dark purple, bad