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1病例资料男,60岁。因突发失语、右侧肢体瘫痪9 h,昏迷7 h入院。9 h前突发失语、右侧肢体偏瘫,7 h前出现昏迷,在当地卫生院治疗(具体不详)无效到我院就诊,门诊查头颅CT示左侧基底核区血肿,收入院。有高血压病史6年,间断服用降压药物,血压控制不理想。查体:体温36.2℃,脉搏62/min,呼吸19/min,血压182/125 mmHg。浅昏迷,Glasgow评分8分,头颅无畸形,双侧瞳孔等大等圆,直径3.0 mm,对光反射灵敏,颈软。心、肺、腹未见异常。右侧肢体肌力Ⅲ级,肌张力正常,生理反射存在,病理反射未引出。复查头颅CT示左侧基底核区血肿,出
1 case information male, 60 years old. Due to a sudden aphasia, paralysis of the right limb 9 h, coma 7 h admission. 9 h before aphasia, right limb hemiplegia, coma 7 hours ago, the local hospital treatment (specific unknown) invalid to our hospital, outpatient check head CT showed left basal ganglia hematoma, income hospital. Hypertensive history of 6 years, intermittent use of antihypertensive drugs, blood pressure control is not satisfactory. Physical examination: body temperature 36.2 ℃, pulse 62 / min, breathing 19 / min, blood pressure 182/125 mmHg. Shallow coma, Glasgow score 8, no head deformity, bilateral pupils and other large circle, diameter 3.0 mm, sensitive to light reflection, neck soft. Heart, lung, abdomen no exception. Right limb muscle Ⅲ grade, normal muscle tone, the presence of physiological reflex, the pathological reflex did not lead. Review head CT showed left basal ganglia hematoma, out