病历摘要患者王××,男,60岁,干部,于1974年11月25日入院。主诉:左上下肢不能活动11小时。患者于11小时前(午夜1点钟左右),在睡眠中从床上跌下,醒来想爬起时即发现左上下肢完全不能活动。当时无头痛、头晕或呕吐,亦无抽搐,有尿失禁。 1974年春开始出现右侧头痛,最初为间歇性,以后变为持续性,胀痛;同时出现精神障碍,沉默寡言,主动性差,思维迟钝,记忆力衰退,情感淡漠,与家人疏远,漫不经心,不讲卫生,不修边幅,常将大小便解在裤内而不去洗刷。过去无高血压病史。检查:淡漠、迟钝,血压140/74毫米汞柱,脉搏64次/分,心、肺、腹未见异常。淋巴结不肿大。双视乳头边缘模 Patient summary Wang × ×, male, 60 years old, cadre, was admitted on November 25, 1974. Chief Complaint: left upper limb can not move 11 hours. Patients 11 hours ago (about 1 o’clock midnight), falling from the bed during sleep, wake up and want to get up that left upper and lower limbs completely unable to move. At that time, no headache, dizziness or vomiting, no convulsions, incontinence. The beginning of the spring of 1974, the right side of the headache, initially intermittent, later became persistent, pain; at the same time mental disorders, taciturn, poor initiative, slow thinking, memory loss, emotional indifference, and his family, careless, , Not trimming, often urinate in the pants and not to wash. No history of hypertension in the past. Check: indifferent, slow, blood pressure 140/74 mm Hg, pulse 64 beats / min, heart, lung, abdomen no exception. Lymph nodes are not swollen. Dual vision nipple edge mold