Journal: Frontier Forum of Clinical Medicine DOI: 10.32629/ffcr.v4i4.21469
Abstract
目的：探讨盐酸精氨酸注射液在脑出血恢复期并发非肝性高氨血症所致嗜睡患者中 的超说明书用药合理性及临床价值。方法：报道1例54岁男性脑出血恢复期患者,因 鼻腔填塞止血后出现嗜睡、意识障碍,经排除新发出血后,考虑鼻腔积血氨化致氨中 毒,采用盐酸精氨酸注射液诊断性治疗。结果：患者经盐酸精氨酸注射液15g微量泵 入治疗后,48小时内神志转清,嗜睡症状显著改善,未出现明显不良反应。结论：盐酸 精氨酸注射液在非肝性高氨血症导致的神经精神症状中具有明确的药理作用基础,对 于特定病因导致的氨中毒具有诊断性治疗价值,但需严格掌握适应证并加强药学监护 。
Keywords
盐酸精氨酸注射液；脑出血恢复期；氨中毒；高氨血症；超说明书用药；药学监护
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