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1 临床资料患者男,64岁,因左基底节区脑内血肿收入我科,既往无过敏史,入院后行对症处理。两日后患者复查 CT 示:左基底节区脑内血肿出血量增多,即在全麻下行左颞部钻孔左基底节区脑内血肿清除术。术后患者体检:神志清楚,右侧中枢性面瘫,左侧肢体肌力Ⅳ级,右侧肢体肌力Ⅱ级,各项生命体征正常,病情渐趋稳定,接受康复治疗。术后第4d 11:50,护士根据医嘱首次为患者输入低分子右旋糖酐500 ml 加川芎嗪120 mg,液体输入3 min 后患者出现意
1 Clinical data Patient male, 64 years old, due to left brain stroma intracerebral hematoma income in our department, no previous history of allergies, symptomatic treatment after admission. Two days after the patient review CT showed: left basal ganglia intracerebral hematoma increased bleeding, that is, under left anterior temporal hematoma in the left brain hematoma removal of intracerebral hematoma. Postoperative patient examination: Consciousness, the right side of the central paralysis, left limb muscle strength grade Ⅳ, right limb muscle strength Ⅱ level, the vital signs of normal, the disease gradually stabilized, receiving rehabilitation. After the first 4d 11:50, nurses according to doctor’s advice for the first time for patients with low molecular weight dextran 500ml plus ligustrazine 120mg, liquid infusion after 3min