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胞磷胆碱(citicoline)临床上常用于脑血管意外,一般无严重副作用。我们在使用胞磷胆碱过程中,发生休克4例,现报告如下。例1 女性,72岁。因右侧偏瘫,讲话不清4d而入我院。体检:神志清,BP18.7/9.3kPa(140/70mmHg),心肺听诊无异常。口角向左歪斜,右侧上下肢肌力Ⅲ级。实验室检查:白细胞16.2×10~9/L,N:84％(治疗后,白细胞4.5×10~9/L,N:73％),BUN6.4mmol/L(18.0mg/dl),尿糖+++(治疗后阴性),血糖14.0mmol/L(268mg/dl);脑脊液:WBC0.005×10~9/L,葡萄糖2.78
Citicoline commonly used in clinical cerebrovascular accident, the general no serious side effects. We use citicoline in the process, the occurrence of shock in 4 cases, are as follows. Example 1 Female, 72 years old. Due to the right hemiplegia, unclear speech 4d into our hospital. Physical examination: conscious mind, BP18.7 / 9.3kPa (140 / 70mmHg), cardiopulmonary auscultation no abnormalities. Diagonal skew to the left, the right upper and lower limb muscle strength Ⅲ. Laboratory tests showed that leukocytes 16.2 × 10 9 / L, N 84% (white blood cells 4.5 × 10 9 / L, N 73%), BUN 6.4 mmol / L (18.0 mg / dl) +++ (after treatment negative), blood glucose 14.0mmol / L (268mg / dl); cerebrospinal fluid: WBC0.005 × 10-9 / L, glucose 2.78