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病例报告 [例] 女,61岁,住院号14523。发作性左面部抽动,左手发麻4个月。开始时每天发作3～4次,每次数分钟。入院前后发作增频至200～300次/日。无明确高血压、糖尿病或癫癇史。体检:血压150/90毫米汞柱。右侧颜面核上性瘫,舌偏左,右上肢力弱。入院后服苯妥英钠、扑癇酮10天,无效停药。同日测得血糖225毫克％,尿糖(+++),尿酮(-),诊断为糖尿病。当日即给胰岛素治疗,第二天发作次数减少,第三天发作停止。以后血糖一直控制在160～170毫克％之间,未再发作。面瘫,舌偏,左上肢力弱也完全恢复,痊愈出院。 [例2] 女,54岁,住院号16422。阵发性左面部和左上肢抽动2天,高血压病3年,无癫癇和糖尿病史。体检:血压220/126毫米汞柱,左上肢肌力稍弱,腱反射双
Case Report [Example] Female, 61 years old, hospital number 14523. Episode left tics, left hand numb 4 months. The beginning of the attack 3 to 4 times a day, every few minutes. Before and after admission episodes increased to 200 to 300 times / day. No definite history of hypertension, diabetes or epilepsy. Physical examination: blood pressure 150/90 mm Hg. The right facial paralysis on the nucleus, tongue left and right upper limb weak. After admission, phenytoin sodium, epilepsy ketone 10 days, invalid withdrawal. The same day measured 225 mg of blood sugar, urine sugar (+ +), urine ketone (-), diagnosed with diabetes. The same day that insulin treatment, reduce the number of attacks the next day, the third day of the attack stopped. After the blood sugar has been controlled between 160 ~ 170 mg%, no further attacks. Facial paralysis, tongue partial, left upper limb weakness also fully recovered, discharged. [Example 2] Female, 54 years old, hospital number 16422. Paroxysmal left and left upper limb twitch 2 days, hypertension 3 years, no history of epilepsy and diabetes. Physical examination: blood pressure 220/126 mm Hg, left upper limb weakness, tendon reflex double