论文部分内容阅读
1 临床资料 病例选择——酒精中毒4例,中轻度脑震荡3例,安眠药中毒3例,共10例。 临床表现:大多数患者进院时呈嗜睡及昏迷状态,体检,双侧瞳孔等大等圆、对光反射存在、心肺无异常,神经系统未检出病理性反射,尤其外伤性脑震荡患者需仔细排除颅内出血的可能性。 治疗方法:全部摒弃上述病例以往对症治疗措施,如酒精中毒者常用胰岛素,VB_6、VC。脑震荡者用脑复康、脑活素、ATP、辅酶A、细胞色素C,安眠药中毒者用美解眠、可拉明、洛贝林、回苏灵等一切传统药物治疗。均用胞二磷胆碱250mg加5％GS40ml于静脉中推注,而后于静脉路中继续点滴5％GS500ml加胞二磷胆碱750mg,较重者于上一路静脉点滴后还未清醒者继续予胞二磷胆碱500mg点滴。一般用量每于500～750mg,最大剂量每天可达1800mg。
1 Clinical data Case selection - 4 cases of alcoholism, moderate concussion in 3 cases, sleeping pills poisoning in 3 cases, a total of 10 cases. Clinical manifestations: Most patients were lethargic and coma on admission, physical examination, bilateral pupil and other large circle, the presence of light reflex, no abnormal heart and lung, nervous system did not detect pathological reflex, especially traumatic concussion patients need Carefully rule out the possibility of intracranial hemorrhage. Treatment: All to abandon the previous cases of symptomatic treatment measures, such as alcohol commonly used insulin, VB_6, VC. Concussion with brain rehabilitation, cerebrolysin, ATP, coenzyme A, cytochrome C, hypnosis poisoning with the United States to sleep, kolam, Luo Bei Lin, Hui Su Ling and all other traditional drug treatment. Both citicoline 250mg plus 5% GS40ml bolus in the vein, and then continue intravenous drip 5% GS500ml plus diphosphocholine 750mg, heavier in the last vein after intravenous drip not yet continue to continue To citicoline 500mg drip. The general dosage of 500 ~ 750mg, the maximum daily dose up to 1800mg.