快速糾正垂體后葉素所致低鈉血癥引發(fā)腦橋外髓鞘溶解癥1例
發(fā)布時(shí)間:2018-06-07 16:31
本文選題:垂體后葉素 + 低鈉血癥 ; 參考:《中國(guó)醫(yī)院藥學(xué)雜志》2017年10期
【摘要】:正1臨床資料患者,男,60歲,因"反復(fù)咯血3月余,近一月咳血量大,每日咳血3~4次,每次量約50 mL"于3月3日入院。入院檢查:神智清楚,腦膜刺激征陰性,心律齊,體溫38.3℃,脈搏118次/min,呼吸21次/min,血壓120/70 mmHg(1 mmHg=0.133 kPa)。離子檢查未見異常。診斷為咳血原因待查,予酚磺乙胺止血,應(yīng)用5 d后患者咳血癥狀無明顯改善。3月9-13日遵醫(yī)囑改用垂體后葉注射液24 U+0.9%氯化鈉注射液500 mL(10滴/min)靜脈滴注止血,用藥總量
[Abstract]:The patient, aged 60 years, was admitted to hospital on March 3 because of repeated hemoptysis for more than three months and a large amount of hemoptysis in the last month, with a daily hemoptysis of about 50 mL 4 times a day. Admission examination: clear-witted, negative meningeal stimulation, arrhythmia, body temperature 38.3 鈩,
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