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患者女性,74岁,因“突发左侧肢体运动障碍6日,加重并意识障碍3日”来诊。患者于6日前无明显诱因出现左侧肢体运动障碍,自觉有麻木感,伴头晕、恶心、呕吐1次,呕吐物为胃内容物,于当地医院按“脑梗死”治疗,症状进行性加重,出现吞咽困难,右侧肢体运动障碍、嗜睡。既往高血压病、冠心病病史20余年,无吸烟,饮酒史。查体:体温36.7℃,脉搏87次/分,呼吸18次/分,血压150/88mmHg(1mmHg=0.133kPa)。实验室检查:血钾3.0mmol/L。影像学检查:颅脑MRI示脑桥梗死。诊断:脑梗死。医嘱: ①鼻饲饮食; ②伐他汀钙片20mg,每夜1次,口服; ③阿司匹林肠溶片100mg,每日1次,口服; ④氯化钾缓释片1g,每日2次,口服; ⑤0.9%氯化钠注射液100ml+依达拉奉30mg,每日2次,静脉滴注; ⑥0.9%氯化钠注射液500ml+奥扎格雷80mg,每日2次,静脉滴注; ⑦肠内营养剂(TPF)能全力1000ml,80ml/h,鼻饲。 奥扎格雷的禁忌证包括()
A.
出血性脑梗死,或大面积脑梗死深度昏迷者
B.
有严重心功能不
C.
有血液病或有出血倾向者
D.
严重高血压,收缩压200mmHg以上
E.
对本品过敏者
F.
有严重肾功能不
G.
有严重肝功能不
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