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例1,男性,74岁,于就诊前9小时,在阅报时突然出现头晕、视物旋转、呕吐,约1小时后呕吐频繁,内含咖啡色样物,量约500ml,伴复视、站立不稳,但意识清楚,肢体活动正常,既往有高血压病史,无肝病、胃病史。未进可引起潜血的食物。查体:Bp20/13kPa,神清语明,双眼有水平眼震,左眼外展受限,左侧周围性面瘫,四肢肌力,肌张力正常。右半身痛觉迟钝,左上下肢共济运动障碍。病后6小时行头部CT检查,示左顶叶陈旧性腔梗。经对症治疗,于发病后22小时,自觉症状完全消失,左侧周围性面瘫、左眼外展受限、右半身痛觉减退均已恢复,留有轻度水平眼震及左上肢共济障碍。
Example 1, Male, 74 years old, 9 hours before the visit, sudden dizziness at reading, depending on the material rotation, vomiting, about 1 hour after vomiting, containing brown samples, the amount of about 500ml, with diplopia, standing Steady, but conscious, physical activity is normal, previous history of hypertension, no liver disease, stomach history. Not into the food that can cause occult blood. Physical examination: Bp20 / 13kPa, clear and clear language, nystagmus level of both eyes, restricted left eye abduction, left facial paralysis, limb muscle strength, muscle tone normal. Pain in the right half body slow, left upper limbs ataxia disorders. 6 hours after the head line CT examination showed that the left parietal lobe obsolete. After symptomatic treatment, 22 hours after the onset of symptoms disappear completely, the left peripheral facial paralysis, left eye abduction limited, right half-pain relief have been restored, leaving a mild level of nystagmus and left upper limb ataxia.