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女,73岁,清晨起床发现左侧肢体无力1周入院.有高血压史15年,血压在180/100mmHg 左右,偶服降压药。入院时查体:Bp200/100mmHg,心肺(-),神清,眼底动脉硬化Ⅱ°。肌张力正常.肌力:左上肢4.5级,左下肢4级,右侧正常,病理征(-),颈软。脑电图正常。腰穿脑压正常,脑脊液常规及生化正常。CT 扫描右额叶中线旁及左顶叶中线旁各有一17.3×31.6mm~2、24.9×18.4mm~2的低密度区,诊断为梦发性脑梗塞.入院后继续服复方罗布麻片,2片,tid.入院后第3天加用10%G.S.500ml+丹参液10ml(相当于丹参15克)静滴,约2小时滴完,15分钟后患者鼾声呼吸,意识不清,Bp 降至90/70mmHg,全身大汗淋漓,皮肤温暖,心音弱,心律齐,心率70次/分,左侧肢体肌张力增高,有时四肢抽搐,双侧病理征(+)。即刻查血糖及心电图均为正常。经给氧,静注高渗葡萄糖、地塞米松及输液,半小时后血压复升至160～180/100mmHg,病人渐苏醒恢复原状。第4天4小时输完丹参,无不良反应。第5天2小时输完,15分钟后又发生上述类似反应,查
Female, 73 years old, early morning wake up found left limb weakness 1 week admission .Hypertensive history of 15 years, blood pressure at 180 / 100mmHg or so, even antihypertensive drugs. Admission examination: Bp200 / 100mmHg, cardiopulmonary (-), Shen Qing, fundus arteriosclerosis Ⅱ °. Muscle tension: Muscle strength: left upper extremity 4.5, left lower extremity 4, right normal, pathological sign (-), neck soft. EEG normal. Normal lumbar pressure through the brain, cerebrospinal fluid routine and biochemical normal. CT scan of the right frontal lobe and left parietal lobe midline each have a low density area of 17.3 × 31.6mm ~ 2, 24.9 × 18.4mm ~ 2, diagnosed as dream of cerebral infarction.After admission to continue taking compound Apocynum, 2 Addition of 10% GS500ml + Salvia miltiorrhiza 10ml (equivalent to 15 grams of Salvia) intravenously in the first 3 days after admission, drip finished in about 2 hours, and after 15 minutes the patient snores and breathes unconsciously, Bp is reduced to 90 / 70mmHg, sweating body, warm skin, weak heart sounds, heart rate Qi, heart rate 70 beats / min, left limb muscle tone increased, and sometimes limbs convulsions, bilateral pathological sign (+). Instant check blood glucose and ECG are normal. After oxygen, intravenous hypertonic glucose, dexamethasone and infusion, half an hour after the blood pressure rose to 160 ~ 180 / 100mmHg, the patient gradually wake up to restore the status quo. Danshen 4 days after the first 4 days, no adverse reactions. 2 days after the fifth day of the end of the infusion, 15 minutes after the occurrence of these similar reactions, check