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病历摘要曹××,女,43岁,干部,于1980年11月30日入院。主诉:突感头痛,伴左侧肢体瘫痪8小时.患者于11月30日上午11时在洗衣过程中突感剧烈难受的全头痛,伴呕吐,随即出现左侧上下肢无力、活动不灵.无抽搐.有高血压病史已20年,最高曾达200/120毫米汞柱,平时150～160/90～100毫米汞柱,不规则服用降血压药物。检查:嗜睡,血压170/110毫米汞柱,呼吸19次/分,脉搏90次/分,体温37.2℃,心、肺(-).眼底有动脉硬化征,两眼往右侧凝视,瞳孔左>右(2.8:2.5毫米),左面纹浅,仲舌偏左,左上肢肌力1度,左下肢2度,左 Babinski 征
Medical record summary Cao × ×, female, 43 years old, cadre, was admitted to hospital on November 30, 1980. Chief Complaint: sudden headache, paralysis with the left limb for 8 hours at 11 am on November 30 patients in the washing process sudden severe uncomfortable headache, accompanied by vomiting, then appeared on the left upper and lower limb weakness, activity is not working. No convulsions .Hypertensive history has been 20 years, the highest had reached 200/120 mmHg, usually 150 ~ 160/90 to 100 mmHg, irregular taking antihypertensive drugs. Check: lethargy, blood pressure 170/110 mm Hg, breathing 19 beats / min, pulse 90 beats / min, body temperature 37.2 ℃, heart and lung (-). Fundus atherosclerosis sign, both eyes staring to the right, pupil left > Right (2.8: 2.5 mm), light pattern on the left, middle tongue left, left upper limb muscle strength 1 degree, left lower limb 2 degree, left Babinski sign