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1 临床资料 例1,男,49岁,行走时无诱因突然摔倒,神志模糊,右侧肢体活动不灵,言语不清伴呕吐3天入院。查体:神清,讲话为流利型失语口语,发音及语调正常,阅读完全障碍,指令其读书报完全以错语读出声,严重命名障碍,对简单指物不能完成,书写困难;复述相对完整,左右失认,手指失认,右侧鼻唇沟变浅,伸舌偏右,右上下肢肌力Ⅳ°,巴氏征(+);头颅CT示左颞顶区2.5×3.5cm的梗塞灶。治疗2个月后偏瘫恢复,病理征(-);简单指物能回答,如筷子、钥匙等,三个字或以上难以回答,如洗脸盆等。听写系列数字能完成;仍有左右失认,手指失认。
1 clinical data example 1, male, 49 years old, no incentive to fall suddenly fell, ambiguous, right limb movement is not working, verbal ill with vomiting 3 days admitted. Physical examination: clear, speech fluent aphasia spoken, normal pronunciation and intonation, reading completely obstacles, ordered reading newspapers completely wrong language to read out the sound, serious naming obstacles to the simple finger can not be completed, writing difficulties; rehearse relatively complete , Left and right deaf, finger desensitization, the right nasolabial fissure shallow, right tongue extension, right upper quadrant muscle strength Ⅳ °, Pakistan’s sign (+); cranial CT showed left temporomandibular area 2.5 × 3.5cm infarction . Hemiplegia recovery after 2 months of treatment, pathological sign (-); simple finger can answer, such as chopsticks, keys, three words or more difficult to answer, such as washbasin and so on. Dictation series of numbers can be completed; there are still about recognition, finger recognition.