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患者,陈某某,男,72岁。因发作性右侧肢体活动不灵伴言语不清两周于1989年10月7日入院.两周前晨起突然出现右侧肢体无力,活动不灵,说活不清,约4h 后自行缓解,一切如常。此后又连续类似发作多次。每次1～2h,缓解后无任何后遗症状。休检:T73℃,P72次/min,R20次/min,BP20/10KPa,神志清,语言流利,颅神经除双眼底动脉硬化外余无异常。双上下肢肌张力正常,腱反射对称,双侧掌一颏反射(+),心、肺、腹部均未见异常。血及尿常规,血小板,出凝血时间,纤维蛋白原,肝功能,肾功能等项检查均正常。脑 CT 扫描未见异常。诊断:一过性脑缺血发作(TIA)。清栓酶皮试阴性后以0.5u 加入生理盐水500ml 静脉点滴,每日一次,自第2天起 TIA
Patient, Chen Moumou, male, 72 years old. Due to episodes of limb activity on the right side with ill-defined speech was admitted to hospital on October 7, 1989 two weeks ago suddenly appeared the right limb weakness, activity is not working, said ambiguity, self-remission about 4h, everything usual. After a series of similar attacks again and again. Each 1 ~ 2h, no relief after symptoms. Hugh seizure: T73 ℃, P72 times / min, R20 times / min, BP20 / 10KPa, clear mind, the language fluent, cranial nerve in addition to binocular atherosclerosis outside the exception. Both upper and lower limb muscle tone normal, tendon reflex symmetry, bilateral palmar a chin reflex (+), heart, lung, abdomen were normal. Blood and urine, platelets, clotting time, fibrinogen, liver function, renal function and other items were normal. No abnormal brain CT scan. Diagnosis: Transient ischemic attack (TIA). Qing thrombi test-negative 0.5u after adding saline 500ml intravenous drip once a day, starting from day 2 TIA