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病历介绍魏××,男,19岁,住院号40163, 因突然四肢抽搐,数分钟后发作停止,出现讲话不清,口角偏右,左上肢无力,不能持物一天于86年2月7日第一次入院,起病前后无发烧头痛,无意识障碍。平时体健,无脑炎、脑外伤、中耳炎及吃米猪肉史。体检:T 37℃,P 98次/分,R 16次/分,BP120/80mmHg,发育营养正常,神志清楚,皮肤无出血点、疖肿及皮下结节,表浅淋巴结不大,外耳道、鼻腔无脓性分泌物,咽扁桃体不大,甲状腺未及,心肺肝脾正常。智力正常,语言不清,视、听觉正常,闭眼有力,眼球运动自如,双瞳孔等大,光反射灵敏,双侧视乳头边界清楚,左侧鼻唇沟浅,口角偏右,咽反射存在,伸舌偏左。全身感觉
Medical history introduced Wei × ×, male, 19 years old, hospital number 40163, due to sudden limbs twitch, a few minutes after the onset of seizures, appear speech is unclear, mouth right, weak upper left limb, can not hold a day on February 7, 86 A hospital admission, before and after onset of fever headache, unconsciousness. Normal physical health, no encephalitis, brain trauma, otitis media and eating rice history of pork. Physical examination: T 37 ℃, P 98 beats / min, R 16 beats / min, BP 120 / 80mmHg, normal development and nutrition, conscious, skin no bleeding point, swelling and subcutaneous nodules, superficial lymph nodes, external auditory canal, nasal cavity No purulent secretions, pharynx tonsil, thyroid gland, heart and lung liver and spleen normal. Normal intelligence, unclear language, visual acuity, normal hearing, eyes closed, eye movement freely, double pupil and other large, light reflex sensitivity, clear bilateral nipple border, the left nasolabial fold shallow, right angle mouth, pharyngeal reflex exist , Stretch the tongue to the left. Body feeling