例1:钱××女性,76岁,子85年1月20日入院。患者入院前三天因生气后突然言语不清,走路不稳,半小时后出现呕吐,右侧肢体活动不灵,但无意识障碍及抽搐,无尿便失禁。既往高血压病史数年。查体血压200/120mmHg,神志清楚,对话欠清。双额纹对称,眼裂等大眼位居中,两瞳孔约3mm。光反射灵敏,眼底视乳头界清,右眼闭合力弱,右鼻唇沟浅,舌伸偏右,示齿时口角歪向左侧,两侧软腭上举有力。右上肢肌力“0”级,右下肢肌力“3”级,左上下肢肌力正常,右上下肢肌张力高,腱反射活跃。右侧Babinski征(+)、右Chaddockis征(+),右面部及右半身痛觉减退,深感觉正常。左侧肢体共济运动正 Example 1: Qian × × female, 76 years old, January 20, 85 admission. Three days before admission, the patient suddenly vomited after he became angry, walked unsteadily, vomited half an hour later, and the right limb was not active. However, unconsciousness, convulsions and no urine incontinence occurred. History of previous hypertension for several years. Examination of blood pressure 200 / 120mmHg, conscious, less clear dialogue. Double forehead symmetry, eye crack and other large eyes in the center, two pupils about 3mm. Sensitive to light reflection, the ophthalmic papillae clear, the right eye closure weak, the right nasolabial fold shallow, tongue stretched right, crooked dentate to the left, on both sides of the soft palate on a powerful lift. Right upper extremity muscle strength “0” grade, right lower extremity muscle strength “3” grade, left upper limb muscle strength is normal, right upper extremity muscle tension, tendon reflex active. Right Babinski sign (+), right Chaddockis sign (+), the right side of the right and lower body pain, deep feeling normal. Left limb joint movement is positive