论文部分内容阅读
作者报告一例表现为左侧轻偏瘫和同时发生腋动脉栓塞引起右侧臂丛病(brachial plexopathy)患者。 患者女性,78岁。诉述右臂疼痛、麻木、无力,被发现跌在椅子里,臂不能活动。其脑血管危险因素有:用地戈辛治疗的房颤和用柳胺苄心定(labetalol)治疗的高血压。神经系统检查:语言流利,无失语,轻微的意志丧失,有良好的自知力。有明显的自体识别不能,左半侧视觉、触觉和听觉刺激勿略。眼向右侧凝视、左侧面瘫,咽反射受损。左侧肢体肌张力增强伴肌力显著减弱(0～1级)、反射亢进。右臂肌力减弱、水肿、变色。在右臂未见腋动脉、
The authors report an example of patients presenting with right-sided hemiparesis and concurrent axillary embolism causing a right-sided brachial plexopathy. Female patient, 78 years old. Complaining right arm pain, numbness, weakness, was found to fall in a chair, arms can not move. The risk factors for cerebrovascular disease are atrial fibrillation treated with geoxacin and hypertension treated with labetalol. Neurological examination: fluent language, no aphasia, a slight loss of will, have a good knowledge. Obvious self-identification can not, the left side of the visual, tactile and auditory stimulation do not be ignored. Eyes staring to the right, paralysis on the left, impaired pharyngeal reflex. Left limb muscle tone with strong muscle weakness (0 ~ 1), hyperreflexia. Right arm weakness, edema, discoloration. No axillary artery in the right arm,