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张××,男,69岁,住院号18058。于1982年9月14日因神志不清3小时急诊入院。患者儿子代诉:清晨5时左右,听其父在床上唤“水”,给水喝了两口后即瘫在床上。过去无高血压病史。查体:体温35.2℃(腋下),脉博80次/分,呼吸20次/分,血压120/80mmHg。额头见冷汗,口吐白沫,双眼球稍固定,呈昏睡状,两侧瞳孔等大,直径0.3cm,对光反射欠灵敏,口角无歪斜,颈软,心肺肝脾无异常,肠鸣音存在,四肢呈松弛性瘫痪,双侧巴彬氏征阳性。初步诊断:脑血管意外。立即抽血化验血糖、肾功、电解质,导尿查尿糖。静
Zhang × ×, male, 69 years old, hospital number 18058. On September 14, 1982 due to unconscious 3 hours emergency admission. Patient son on behalf of: 5 o’clock in the morning, listening to his father in the bed called “water”, water to drink after two paralyzed in bed. No history of hypertension in the past. Physical examination: body temperature 35.2 ℃ (armpit), pulse Bo 80 / min, breathing 20 beats / min, blood pressure 120 / 80mmHg. Forehead, see cold sweat, foaming at the mouth, his eyes slightly fixed, was drowsy, both sides of the pupil and other large, diameter 0.3cm, less sensitive to light reflection, mouth no skew, soft neck, heart and lung no abnormal liver and spleen, bowel sounds Exist, limbs were flaccid paralysis, both sides of Baptist’s sign positive. Preliminary diagnosis: cerebrovascular accident. Immediate blood test blood glucose, kidney function, electrolytes, catheterization check urine. Static