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非外伤所致慢性硬脑膜下血肿容易误诊,笔者遇到2例,报告如下。病例报告例1,男,76岁,住院号6116。于1988年10月1日以脑血栓住院。患者在安静状态下自觉右侧肢体麻木感3天,相继右下肢运动障碍逐渐加重,但无头痛及呕吐。有高血压史10年,否认外伤史。查体:T36℃,P80/min,BP160/90mmHg。神志清,语言轻度障碍。颈强直(-),瞳孔等大、圆,对光反应(+),结膜无充血水肿。右鼻唇沟变浅。心肺未见异常。肝脾未扪及。右下肢肌力减弱Ⅱ级。病理反射(-)。治疗给予低分子右旋糖酐、
Non-traumatic chronic subdural hematoma easily misdiagnosed, the author encountered two cases, the report is as follows. Case report 1, male, 76 years old, hospital number 6116. In October 1, 1988 cerebral thrombosis hospitalized. Patients in the quiet state conscious right limb numbness 3 days, one after another gradually lower extremity dyskinesia, but no headache and vomiting. A history of hypertension for 10 years, denied a history of trauma. Physical examination: T36 ℃, P80 / min, BP160 / 90mmHg. Conscious, mild language disorder. Neck stiffness (-), pupil and other large, round, light response (+), conjunctival congestion and edema. Right nasolabial furrow shallow. Heart and lung no abnormalities. Liver and spleen not palpable. Lower right leg muscle weakness Ⅱ level. Pathological reflex (-). Treatment given low molecular weight dextran,