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例1,男,65岁。近两年来性格变化,由原来性情温和变为易怒,常与家人及邻里为小事争吵。入院前半月咳嗽,咯少量白痰,不发热,无头痛恶心呕吐。入院查体:血压正常,言语流畅,查体合作。浅表淋巴结无肿大,瞳孔等大,对光反应灵敏。颈软,桶状胸,肺叩诊过清音,呼吸音减低,两肺可闻及少量干湿性罗音。心脏、腹部检查无异常。四肢肌力肌张力正常,病理反射阴性。胸片报告:慢支感染,两肺转移性病灶。头颅磁共振检查示左顶叶胶质瘤(1.5×1.5×1.4cm)。 例2,男,66岁。近半年言语减少,易怒,常与家人
Example 1, male, 65 years old. Character changes in the past two years, from mild temperament into irritability, often quarrel with their families and neighborhoods for the trivial matter. Half a month before admission, cough, slightly a little white sputum, no fever, no headache, nausea and vomiting. Admission examination: normal blood pressure, speech flu, physical examination. Superficial lymph nodes without swelling, pupils and other large, sensitive to light. Neck soft, barrel chest, lung percussion over the voiceless, reduced breath sounds, both lungs can smell a small amount of dry and wet rales. Heart, abdominal examination without exception. Limb muscle strength Normal muscle tone, pathological reflex negative. Chest radiograph report: chronic bronchitis, lung metastatic lesions. Head magnetic resonance imaging showed left parietal glioma (1.5 × 1.5 × 1.4cm). Example 2, male, 66 years old. Nearly half of the words to reduce irritability, often with their families