论文部分内容阅读
例1 男性,40岁。1985年患脑梗塞,治疗后未留后遗症。本次于1990年2月9日突然眩晕,四肢乏力,以左侧肢体明显,视物模糊,语言艰涩17h 入院。发病时无头痛、呕吐及意识障碍。查体:体温32.8℃C,脉搏80次/min,呼吸18次/min,血压20.2/12kPa(152/90mmHg),神清,无面瘫及肢体瘫痪,颈软,心肺正常,肝脾未及,四肢肌力Ⅲ~Ⅳ级,感觉减退,膝反射活跃,左侧 Hoffmann征(+),双侧 Babinski 征(-),头颅 CT 检查报告右侧大脑内囊部有两个2cm×1.5cm 低密度区(与1985年CT 检查所示相似),未见新的梗塞或出血病变,血脂
Example 1 male, 40 years old. Suffering from cerebral infarction in 1985, leaving no sequelae after treatment. This on February 9, 1990 suddenly dizzy, limb weakness, obvious to the left limb, blurred vision, difficult language 17h admission. No headache, vomiting and disturbance of consciousness at onset. Examination: body temperature 32.8 ℃ C, pulse 80 beats / min, breathing 18 beats / min, blood pressure 20.2 / 12kPa (152/90 mmHg), Shen Qing, without facial paralysis and limb paralysis, soft neck, normal lung and spleen, Limb muscle strength Ⅲ ~ Ⅳ grade, decreased sensation, active knee reflex, left Hoffmann sign (+), bilateral Babinski sign (-), cranial CT examination of the right brain sac has two 2cm × 1.5cm low density District (similar to the CT scan in 1985) showed no new infarct or hemorrhagic lesions, blood lipids