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男患,59岁,因冠心病心衰加重于1988年11月7日入院,既往有高血压、心肌梗塞病史。体检:体温36.5℃,血压16/12kPa,心率120次/分,颈静脉充盈,心界叩诊明显向左下扩大,双肺底闻及散在性湿性罗音,腹平软,肝肋下1cm,肝颈静脉回流征阳性,双胫前指压痕阳性。入院后经强心利尿、扩血管药等治疗,第4天病人坐位时无诱因突然意识不清,压眶无反应,抽搐,四肢强立痉挛,双瞳孔直径5mm,光反射存在,四肢肌力正常,双侧巴氏征阳性,2小时意识逐渐恢复,双眼上睑下垂,双眼球不能向内、向
Male, 59 years old, due to heart failure due to coronary heart disease increased in November 7, 1988 admission, previous history of hypertension, myocardial infarction. Physical examination: body temperature 36.5 ℃, blood pressure 16 / 12kPa, heart rate 120 beats / min, filling the jugular vein, heart percussion significantly extended to the lower left, both at the end of the lung smell and scattered wet rales, abdominal soft, liver ribs 1cm, liver Jugular reflux syndrome was positive, positive double tibia forefoot indentation. After admission, cardiac diuresis, vasodilator and other treatment, the first four days of patients sitting without cause sudden unconsciousness, compression orbital non-reaction, convulsions, limbs and strong spasm, double pupil diameter 5mm, the presence of light reflex, limb muscle strength Normal, bilateral Pap smear positive, 2 hours consciousness gradually restored, both eyes ptosis, both eyes can not inward, to