1临床资料患者男,50岁,于入院前3d开始出现头晕,恶心未吐,当时测血压180/100mm Hg(1mm Hg=0.133kPa),自认为血压高,口服“心痛定”,血压控制在140/80mm Hg左右,病情无好转,1h前出现左侧肢体麻木,伴饮水呛咳及声音嘶哑,吞咽困难不明显,无抽搐及意识障碍,无视物成双及视物旋转,既 1 Clinical data Male, 50 years old, began to appear dizziness 3d days before admission, nausea did not vomit, was measured blood pressure 180 / 100mm Hg (1mm Hg = 0.133kPa), since high blood pressure, oral “heartache set”, blood pressure control 140 / 80mm Hg or so, the condition did not improve, left limb numbness 1h ago, with cough and hoarseness of drinking water, dysphagia was not obvious, no convulsions and disturbance of consciousness, ignoring the object into double and depending on the material rotation, both