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患者,女,53岁,农民。主因左面部抽搐伴失语10天,于1989年5月15日入院。患者于10天前无明显诱因出现左面部抽搐失语,每次发作约3～5分钟后缓解。发作时意识清楚,近日来发作频繁。既往有糖尿病史7年。查体:左侧中枢性面瘫,伸舌偏左,膝腱及跟腱反射(++)对称。其余无异常发现。EEG:右半球中度异常;脑 A 超:中线无移位。空腹血糖45mg。腰穿:CSF 无色透明,压力120mmH_2O,白细胞8个,蛋白20mg%,糖20mg%,氯化钠710mg%。入院诊断:1.脑梗塞;2.
Patient, female, 53 years old, farmer. The main left convulsions with aphasia for 10 days, on May 15, 1989 admission. Patients with no obvious incentive to appear 10 days ago left facial convulsion aphasia, each attack about 3 to 5 minutes after the remission. Awareness when the attack, seizures in recent days frequently. Past history of diabetes 7 years. Physical examination: the left central paralysis, stretch tongue left, knee tendon and Achilles tendon reflex (++) symmetry. The rest without exception found. EEG: right hemisphere moderate abnormalities; brain A super: no shift in the midline. Fasting blood glucose 45mg. Waist wear: CSF colorless and transparent, pressure 120mmH_2O, 8 white blood cells, protein 20mg%, sugar 20mg%, sodium chloride 710mg%. Admission diagnosis: 1. Cerebral infarction; 2.