1临床资料患者男,84岁,于2010年3月因左口角流涎诊断急性脑梗死,入院后出现双上肢轻度肌张力增高,无明显肢体震颤,未予治疗。2010年8月始自觉活动笨拙,翻身、起步困难,遂开始抗帕金森治疗。患者既往患冠心病,2型糖尿病,右股骨头置换术后。否认药物、食物过敏史。否认吸烟饮酒史。个人史、家族史阴性。入院时查体:Bp 140/70 mm Hg(1 1 clinical data Male, 84 years old, in March 2010 due to left mouth salivation diagnosis of acute cerebral infarction, admitted to the hospital after mild upper extremity mild muscle tension, no significant limb tremor, no treatment. August 2010 began to consciously awkward activities, stand up, starting difficulties, then started anti-Parkinson treatment. Patients with previous history of coronary heart disease, type 2 diabetes, right femoral head replacement surgery. Denied drugs, food allergy history. Denied the history of smoking and drinking. Personal history, negative family history. Physical examination on admission: Bp 140/70 mm Hg (1