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张某,女,68岁。意识障碍3小时于1988年6月23日入院。入院当日晨起7时左右,于做早饭时突然意识丧失,尿失禁,呼吸急促。既往患慢性支气管炎10余年。无糖尿病病史。查体:体温36.4℃,脉搏100/min,呼吸28/min,血压24.0/10.7kPa,浅昏迷状态,压眶有反应,桶状胸,右肺呼吸音减弱,可闻及干啰音,右侧瞳孔大于左侧,光反射存在,右侧鼻唇沟似略浅,四肢肌张力基本正常,左侧肢体无意识活动,腱反射两侧对称存在,右 Babinski
Zhang, female, 68 years old. Disorders of consciousness 3 hours on June 23, 1988 admitted. At about 7 am on the morning of admission, a sudden loss of consciousness, urinary incontinence, and shortness of breath during breakfast. Previously suffering from chronic bronchitis more than 10 years. No history of diabetes. Examination: body temperature 36.4 ℃, pulse 100 / min, breathing 28 / min, blood pressure 24.0 / 10.7kPa, shallow coma state, orbital reaction, barrel chest, right lung breath sounds weakened, can be heard and dry rales, right Side of the pupil than the left, light reflex exists, the right nasolabial fold is slightly shallow, limb muscle tension is normal, the left limb unconscious activity, symmetrical presence of tendon reflex, right Babinski