患者,男,32岁,工人,干1982年6月1日入院。半个月前无明显诱因感周身不适、心慌出汗,次日晨3时感右前臂麻木及撕裂样疼痛。入院前两天,突然右侧肢体瘫痪,神志不清伴尿失禁,翌日上午,神志清醒但偏瘫无恢复,失语。有肾炎史6年,常面部浮肿,曾间断服用强的松、速尿等。体检:T36.6℃,BP左上肢120/90右上肢未测到。神志清,完全性 Patient, male, 32 years old, worker, was admitted on June 1, 1982. Half a month ago, no obvious incentive to feel unwell, palpitation sweating, 3 am the next morning the right forearm numbness and tearing like pain. Two days before admission, suddenly paralyzed right limb, delirious with urinary incontinence, the next morning, conscious but no recovery of hemiplegia, aphasia. A history of nephritis 6 years, often facial edema, had intermittent taking prednisone, furosemide and so on. Physical examination: T36.6 ℃, BP left upper limb 120/90 right upper limb not detected. Consciousness, completeness