论文部分内容阅读
患者,男,61岁,因“言语不清2 h”于2015年3月12日入院。入院查体:T 36.7℃,P 64次/min,R 17次/min,BP 142/83mmHg,心、肺、腹(-)。神经系统:意识清,精神不振,言语笨拙,右侧中枢性面瘫,右侧上下肢轻瘫征阳性,无偏身痛觉减退,双侧巴氏征未引出。辅助检查:心电图示窦性心律,偶发成对房性早搏;血糖7.7 mmol/L,头颅CT示多发腔隙性梗死灶、缺血灶。入院诊断:(1)脑梗死;(2)2型糖尿病;(3)冠心病。入院后给予阿司匹林肠溶片、奥扎格雷钠抗血小板凝聚,
Patient, male, 61 years old, admitted to hospital on March 12, 2015 due to “Inaccurate 2 h”. Admission examination: T 36.7 ℃, P 64 / min, R 17 times / min, BP 142 / 83mmHg, heart, lung, abdomen (-). Nervous system: clear consciousness, sluggish speech clumsy, the right side of the central paralysis, paralysis of the right lower extremity paralysis positive, no partial body pain reduction, bilateral Pakistan’s symptoms did not lead. Auxiliary examination: ECG showed sinus rhythm, and occasionally into atrial premature beats; blood glucose 7.7 mmol / L, cranial CT showed multiple lacunar infarcts, ischemic foci. Admission diagnosis: (1) cerebral infarction; (2) type 2 diabetes; (3) coronary heart disease. After admission given aspirin enteric-coated tablets, ozagrel sodium anti-platelet aggregation,