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经CT证实的脑出血与梗塞并发的病例已有10余例报道。现将我院所见2例报告如下: 例1 男,46岁。于88年6月28日晚餐后散步中,突然右侧肢体无力,言语不清,吞咽困难,饮水返呛。4小时后送我院。有高血压病史6年,其母亦有高血压病死于中风。检查:血压29.5/16KPa,心肺未见异常。神清,构音障碍。双瞳3mm,光反应存在。眼底乳头界清,动脉变细。伸舌偏右,右上下肢肌力Ⅳ级,右侧膝反射亢进,未引出病理反射。脑脊液压力2.16KPa,常规及生化正常。血糖正常。血胆固醇4.0mmoL/L,甘油三脂1.81mmoL/L,纤维蛋白元0.6％。血液流变检测:血浆粘度1.84,红细胞电泳时间19.34秒,心电图示左室劳损。入院次日
CT confirmed cases of cerebral hemorrhage and infarction complicated by more than 10 cases have been reported. Now we see 2 cases reported in our hospital are as follows: A male, 46 years old. In June 28, 88 after a walk in the evening, suddenly the right limb weakness, unclear speech, difficulty swallowing, drinking back to choke. 4 hours after delivery to our hospital. Has a history of hypertension for 6 years, her mother also died of hypertension in stroke. Check: blood pressure 29.5 / 16KPa, no abnormal heart and lung. God clear, dysarthria. Double pupil 3mm, light reaction exists. Fundus nipple sector clear, thinner arteries. Tongue right, right upper quadrant muscle strength grade Ⅳ, knee hyperextension on the right, did not lead to pathological reflex. Cerebrospinal fluid pressure 2.16KPa, normal and biochemical normal. Normal blood sugar. Blood cholesterol 4.0 mmoL / L, triglyceride 1.81 mmoL / L, fibrin 0.6%. Blood rheology test: 1.84 plasma viscosity, 19.34 seconds of erythrocyte electrophoresis, ECG showed left ventricular strain. Admission the next day