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患者男,44岁。于1987年7月入院。入院2个月前,因胃溃疡黑便,在当地医院输血,当输血约15min时,突然出现寒战、抽搐、高热、呼吸困难、意识不清,血压不能测出。诊断为输血过敏反应性休克。抢救1d后体温下降、抽搐停止,第4d神志转清。此后发现病人记忆力及智能减退,表情呆板,肢体运动迟缓,走路不稳。既往无高血压、高血脂及糖尿病病史。入院体检:T36℃,P72次,BP13.3/8.0 kPa。神清,语言欠流利,表情呆板,反应迟钝。定向力障
Male patient, 44 years old. In July 1987 admitted. 2 months before admission, due to gastric ulcer melena, blood transfusion in a local hospital, when the transfusion of about 15min, suddenly appeared chills, convulsions, fever, dyspnea, confusion, blood pressure can not be detected. Diagnosis of transfusion allergic shock. After the rescue 1d body temperature drops, convulsions stopped, 4d consciousness clear. Since then found that the patient’s memory and mental decline, facial expression dull, limb movement retardation, walking instability. No previous history of hypertension, hyperlipidemia and diabetes. Admission examination: T36 ℃, P72 times, BP13.3 / 8.0 kPa. Clear, the language is not fluent, dull, unresponsive. Directed force barrier