论文部分内容阅读
我院在一九八六年十二月——一九八七年二月共收治五例大面积脑梗塞病人,其中1例二十八天基本全愈出院,3例平均五十一天好转出院,1例住院第三天死亡,死亡率20%。病例报告例1,男性,48岁,因突然头痛、呕吐、左侧肢体活动不灵三天于八七年二月二十七日入院。既往:风心病、心房纤颤八年。血压120/80mmHg,脉搏强弱不等,嗜睡状态,言语欠清,双侧眼球活动自如,双侧瞳孔2.5mm,光反应迟钝,双侧眼底视乳头界限清楚,动脉细,反光强,左侧鼻唇沟浅,伸舌不能,左面部感觉迟钝,颈部有轻度抵抗,左侧肢体全瘫,肌张力低,左侧肢体腱反射减弱,肢体感觉迟钝,左侧Babinski(+),Chaddock(+),尿失禁。发病第三天做头部CT:右侧
From December 1986 to February 1987, a total of five patients with extensive cerebral infarction were treated in our hospital. One of them was basically discharged from hospital on 28th and the average improvement was 51 days in 3 cases Discharged from hospital, one case died on the third day of hospitalization with a mortality rate of 20%. Case Report 1 Male, 48 years old, admitted to hospital on February 27, 1987 due to sudden headache, vomiting and unbalanced movement of the left limb. Past: rheumatic heart disease, atrial fibrillation eight years. Blood pressure 120 / 80mmHg, pulse intensity range, drowsiness, speech is not clear, bilateral eye movement freely, bilateral pupil 2.5mm, photopic reaction, bilateral clear fundus nipple clear boundaries, arterial thin, reflective, left Babieski (+), Chaddock (+) on the left side of the left hemisphere (+), Urinary incontinence. Head CT on the third day of onset: right side