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我院近期发生应用蝮蛇抗栓酶引起再梗塞一例,现报告如下。 患者,男,年龄65岁,住院号95092。因感左侧肢体麻木、活动受限入院。有高血压史6年。入院体检:T36.8℃,P72次/分,R22次/分,BP:26/15kPa。左侧鼻唇沟变浅,嘴歪向右侧,言语不清晰,流涎,伸舌左偏,颈部对称无甲状腺肿大,胸廓对称:心肺(-),肝脾未触及,无浅表淋巴结肿大,无肝掌、蜘蛛痣。左上肢肌力○级,左下肢肌力Ⅰ~Ⅱ°级,左侧巴氏征(+),左膝反射亢进,病理反射未引出。化验血流变学:全血高切粘度7.28,低切粘度
A recent case of re-infarction caused by the application of viper antithrombotic enzyme in our hospital is reported as follows. Patient, male, age 65 years old, hospital number 95092. Left limb numbness due to physical activity restricted admission. Have a history of hypertension for 6 years. Admission medical examination: T36.8 ℃, P72 beats / min, R22 beats / min, BP: 26 / 15kPa. Left nasolabial fissure shallow, mouth crooked to the right, speech is not clear, salivation, stretch tongue left partial symmetry of the neck without goiter, thoracic symmetry: cardiopulmonary (-), liver and spleen not touched, no superficial lymph nodes Swollen, liverless palm, spider mole. Left upper limb muscle strength ○, left lower extremity muscle strength Ⅰ ~ Ⅱ ° level, left Pakistan’s sign (+), left knee hyperactivity, pathological reflex did not lead. Laboratory Hemorheology: Whole blood high shear viscosity 7.28, low shear viscosity