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患者,女,63岁。3d前早晨醒来感左上睑下垂,右上下肢活动不灵,视物成双,无头痛、眩晕及肢体麻木。于1989年3月21日来诊。有高血压病史10余年。查体:血压21.3/12kPa,神志清,言语清晰,左上睑完全下垂,左眼球外展位,向内、上、下活动受限,左侧瞳孔0.5cm,对光反应消失。右侧瞳孔0.3cm,光反应存在,眼底动脉硬化Ⅰ级,右鼻唇沟浅,伸舌偏右,面部感觉正常,右上下肢肌力Ⅲ级,肌张力高,腱反射(卅).Chaddock及Babinski征(+),深浅感觉正常,心肺(一)。腰穿压力1.18kPa,脑脊液无色透明,化验常规未见异常。入院后3d行颅脑CT检查:右侧基底节区及脑
Patient, female, 63 years old. 3d morning woke up left ptosis, upper right and lower limb movement is not working, depending on the material in pairs, no headache, dizziness and limb numbness. March 21, 1989 visit. Have a history of hypertension more than 10 years. Physical examination: blood pressure 21.3 / 12kPa, clear consciousness, speech clearly, the left upper eyelid completely dilated, left eye ball outreach, inward, upper and lower activities are limited, the left pupil 0.5cm, the light reaction disappeared. Right pupil 0.3cm, light response exists, fundus arteriosclerosis Ⅰ, right nasolabial fold shallow, tongue right, facial sensation, right upper and lower limb muscle strength Ⅲ grade, high muscle tension, tendon reflex (卅) .Chaddock and Babinski sign (+), shades feel normal, heart and lung (a). Waist wear pressure 1.18kPa, colorless and transparent cerebrospinal fluid, laboratory tests showed no abnormalities. 3 days after admission brain CT examination: the right basal ganglia and brain