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患者男性,54岁,农民。3个月前始感全身不适,发冷发烧,头痛。两天后说话不清,右半身活动不灵、麻木,极度口渴,一夜喝水约5,000毫升。在当地医院就诊,服中药30余剂无效,于1979年8月15日入院。检查:血压140/80,体温36℃,神志清,混合性失语。眼底呈早期动脉硬化。伸舌偏右,舌右半侧肌萎缩,有肌纤维震颤。悬雍垂偏右。右侧颈动脉搏动较对侧弱。右上肢肌力Ⅲ°,右下肢肌力Ⅳ°,右手骨间肌、右股四头肌均萎缩。右侧腱反射、腹壁反射
Male patient, 54 years old, farmer. 3 months ago, feeling unwell, fever, headache. Two days after talking, unclear right half of the activity, numbness, extreme thirst, about 5,000 ml of water a night. In the local hospital for treatment, serving more than 30 Chinese medicine invalid, was admitted on August 15, 1979. Check: blood pressure 140/80, body temperature 36 ℃, clear consciousness, mixed aphasia. Fundus showed early atherosclerosis. Pout to the right, the right side of the tongue muscle atrophy, muscle fiber tremor. Uvula right. The right carotid artery beat was weaker than the opposite side. Right upper limb muscle strength Ⅲ °, right lower limb muscle strength Ⅳ °, right interosseous muscle, right quadriceps were atrophy. Right tendon reflex, abdominal reflex