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1病历报告患者女,41岁。因无明显诱因出现右侧肢体麻木、无力、活动受限,行走时向右侧倾斜,伴头痛、头晕,视物模糊1周入院。查体:体温36.4℃,脉搏78/min,呼吸22次/min,血压110/70mmHg;右侧上下肢肌力Ⅳ级,肌张力正常,左侧上下肢肌力、肌张力均正常。头部CT检查示,双侧侧脑室旁小梗死灶。颈动脉超声检查示,右侧椎动脉内径正常,血流量减低,双侧颈总动脉、左侧椎动脉结构及血流未见明显异常。实验室检查:三酰甘油2.22mmol/L。诊断为脑梗死,高三酰甘油血症。给予
1 medical record patient female, 41 years old. No obvious incentive for the right limb numbness, weakness, limited mobility, walking to the right tilt, with headache, dizziness, blurred vision 1 week admission. Examination: body temperature 36.4 ℃, pulse 78 / min, breathing 22 times / min, blood pressure 110 / 70mmHg; right upper limb muscle strength Ⅳ, normal muscle tension, left upper and lower limb muscle strength, muscle tone were normal. Head CT examination showed bilateral small bilateral paraventricular infarction. Carotid ultrasonography showed that the diameter of the right vertebral artery was normal and the blood flow was reduced. There was no obvious abnormality of bilateral common carotid artery, left vertebral artery structure and blood flow. Laboratory tests: triacylglycerol 2.22mmol / L. Diagnosis of cerebral infarction, hypertriglyceridemia. give