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例1 何××,女,54岁,农民。患者于15天前出现头晕,头痛;3天后右侧肢体麻木无力,不能持物及站立;2天前出现口语不清,于1981年12月22日入院。患者病前有下水田史。检查:T36.5℃,意识清楚,表情淡漠,构音不清,左眼球向内斜视,外展受限,右侧鼻唇溝变浅,伸舌右偏,右上,下肢肌力Ⅲ度,肌张力增强,右二头肌,三头肌,桡骨膜反射亢进,霍夫曼氏征(+),右膝反射亢进,髌阵挛(+),踝阵挛(+),右克氏征+WBC8700,ESR27mm/h;脑脊液:无色,清,细胞数9个,蛋白±,糖50mg%以上,氯化物680mg%。血滴凝集溶解试验秋季热群1:200++,沃州群1:400++。经肌注青霉素,静脉滴注血管扩张剂、激素、促进脑细胞代谢药物等治疗,4天后右上、下肢肌力达Ⅵ
Example 1 He × ×, female, 54 years old, farmer. The patient became dizzy and had a headache 15 days earlier. After 3 days, the right limb was weak and unable to hold things and stood up. Two days ago, his speech was unclear and was admitted on December 22, 1981. Patients have the history of paddy fields before disease. Check: T36.5 ℃, conscious, indifferent expression, articulation is not clear, the left eye inward strabismus, abduction is limited, the right nasolabial fissure shallow, right tongue extension, right upper and lower limb muscle strength Ⅲ degree, muscle Tension enhancement, Right biceps, Triceps, Radial hyperreflexia, Huffman’s sign (+), Right knee hyperreflexia, Patellar clonus (+), Ankle clonus (+), Right dextrose syndrome + WBC8700, ESR27mm / h; cerebrospinal fluid: colorless, clear, cell number 9, protein ±, sugar 50mg% or more, chloride 680mg%. Blood drop agglutination lysis test fall heat group 1: 200 ++, Vaud group 1: 400 ++. After intramuscular injection of penicillin, intravenous infusion of vasodilators, hormones, brain cells and other metabolic drugs to promote treatment, right upper quadrant, lower limb muscle strength up to Ⅵ