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病例摘要患者戴某某,女,52岁,病人于9月22日弯腰取东西时突感头迷、眩晕、右后枕部及颞部疼痛。两天后四肢无力、不能站立,双手不能持重物,视物不清,休息后不缓解。10月1日上午大便时突然神志不清,鼾声呼吸,呼之不应,大便失禁,无抽搐及喝水呛,持续6小时逐渐清醒,醒后发现右上肢及左下肢不能动,语言不清。既往有高血压病15年,冠心病3年。查体:平温平脉,BP130/80mmHg神清言语不流利,记忆力、计算力差。双眼左侧同向性偏盲。右眼外展不充分。无眼震,瞳孔等
Case Summary Dai Moumou, female, 52 years old, the patient stunned and stunned, dizzy, right occiput and temporal pain on September 22. After two days weakness, can not stand, his hands can not hold heavy objects, depending on the material is not clear, do not ease after the rest. On the morning of October 1, stool suddenly unconsciousness, snoring breathing, should not call, stool incontinence, no convulsions and water choking, gradually awake for 6 hours, wake up and found that the right upper limb and left lower limb can not move, the language is not clear . Past 15 years of hypertension, coronary heart disease 3 years. Physical examination: Ping Wen Ping, BP130 / 80mmHg God clear words are not fluent, memory, poor computing power. Left hemianopia on both sides of the same direction. Right eye outreach is not sufficient. No nystagmus, pupil and so on