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患者,女,47岁。因右侧肢体乏力2天于1996年5月24日入院。患者于21日晚饮“甜酒”后出现右侧肢体乏力,渐加重,伴头晕,无恶心、呕吐、发热、失语、复视及流涎等。有风湿性关节炎史10多年,高血压病史2年。查体:T36.2℃,P72次/min,BP25/15kPa。神志清,言语流利,步行入院。心肺腹(-)。额纹、鼻唇沟对称,伸舌居中,咽反射正常,右侧上下肢肌力Ⅵ级,肌张力正常,腱反射稍活跃,右罗索尼蒙氏征(+),巴氏征(-)。血、尿、粪常规、肝功能、空腹血糖、血电解质、BUN、CO_2CP正常。
Patient, female, 47 years old. Due to fatigue on the right limb 2 days in May 24, 1996 admission. Patients in the evening of the 21st after drinking “liqueurs” appeared on the right limb fatigue, gradually heavier, with dizziness, no nausea, vomiting, fever, aphasia, diplopia and salivation. Rheumatoid arthritis history of more than 10 years, history of hypertension 2 years. Physical examination: T36.2 ℃, P72 times / min, BP25 / 15kPa. Conscious, fluent in speech, walking admission. Cardiopulmonary abdominal (-). The frontal veins, nasolabial fold symmetry, extensor middle, normal pharyngeal reflex, right upper limb muscle strength Ⅵ level, normal muscle tone, slightly active tendon reflex, right loosenoni’s sign (+), Pakistan’s sign (- . Blood, urine, fecal routine, liver function, fasting blood glucose, blood electrolytes, BUN, CO_2CP normal.