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患者男,70岁,因“言语不能6h,意识不清3h”于2008年1月28日1时入院。患者于27日晚7时许出现言语不能,于急诊室就诊,查体:BP120/70mmHg,双肺呼吸音粗,可闻及散在湿啰音,HR82次/min,律齐,双下肢肌力正常,左侧巴氏征(+)。头颅CT示双侧多发腔梗。胸片示两肺透过度稍减低,主动脉硬化(图1A)。考虑脑梗死急性期,予甘露醇125ml静点,低分子肝素0.4ml皮下注射,阿司匹林100mg口服。晚10时许患者出现喘憋,意识障碍,于28日1时收入监护室。入室时患者昏迷,下
Male patient, 70 years old, due to “speech can not 6h, unconsciousness 3h ” at January 1, 2008 at 1:00 admission. Patients at 7 o’clock on the evening of 7 pm speech can not appear in the emergency room, physical examination: physical examination: BP120 / 70mmHg, lung breath sounds thick, can be heard and scattered wet rales, HR82 times / min, law Qi, lower extremity muscle strength Normal, left subcapsular (+). Head CT showed bilateral multiple infarcts. Chest radiographs showed a slight decrease in both lungs and atherosclerosis (Figure 1A). Consider acute cerebral infarction, to mannitol 125ml static point, low molecular weight heparin 0.4ml subcutaneous injection, aspirin 100mg orally. Patients with wheezing and unconsciousness appeared at 10 o’clock in the evening and were admitted to the custody room at 1:00 on the 28th. Patients into the room when unconscious, under