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例1 患者男性,30岁,湖南省新化县人,于1964年1月14日入新化县人民医院,住院号53。患者于入院前8天清晨睡醒时突然发现右侧上下肢麻木,运动不灵活,伴有头痛和呕吐,言语含糊,神智欠清楚,嗜睡,能吞嚥和大小便,食欲尚好。患者一向在原籍务农,1959年参加当地林业伐木工作,自此曾多次食生螃蟹。次年6月曾发现右上腹部有一鸡卵大肿块,局部有隐痛,但无红肿,经注射青霉素油剂48针,历时4个月而消退。1961年起早晨稍有咳嗽,间有咳血,为铁锈色痰,每次2～3口,无胸痛,未加注意。体格检查:体温36.0℃,脉搏60次/分,呼吸14次/分,血压110/70毫米汞柱,神智欠清楚。皮肤粘膜无皮疹和出血点,周围淋巴结不肿大,瞳孔等大,对光反应存在,巩膜无黄染,眼球运动不灵活。心肺未见异
Example 1 Male patient, 30 years old, Xinhua County, Hunan Province, January 14, 1964 into Xinhua County People’s Hospital, hospital number 53. 8 days before admission, patients wake up suddenly found the right upper and lower limb numbness, movement is not flexible, accompanied by headache and vomiting, verbal ambiguity, lack of intelligence, lethargy, swallowing and urine, appetite is still good. Patients have always been farmers in their native areas, in 1959 to participate in local forestry logging work, has repeatedly eaten crabs. The following year in June had found a right upper quadrant of a large chicken egg mass, local pain, but no swelling, injection of penicillin oil 48 needles, which lasted 4 months and dissipated. In 1961 morning a little cough, coughing blood between, for the rust phlegm, every 2 to 3, no chest pain, did not pay attention. Physical examination: body temperature 36.0 ℃, pulse 60 beats / min, breathing 14 beats / min, blood pressure 110/70 mm Hg, less clear. No skin rash and bleeding skin mucosa, lymph nodes around the enlargement, pupils and other large, the presence of light reaction, sclera no yellow dye, eye movement is not flexible. Heart and lung no difference