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1临床资料患者,女性,71岁,突发右侧肢体力弱、言语不清1d余。病情渐重,门诊以脑梗死收入院。既往冠心病、阵发性房颤病史10余年,入院诊断:(1)脑栓塞,(2)冠状动脉粥样硬化性心脏病阵发性心房纤维性颤动,(3)双膝关节置换术后。完善入院后相关检查及化验。患者对多种药物过敏,头颅CT示左侧颞顶叶脑梗塞,诊断脑梗塞明确。给予抗血小板聚集、清除氧自由基、抗凝、改善心脑循环及对症治疗。于某日下午再次出现胸闷、心
1 Clinical data Patients, female, 71 years old, sudden right limb weakness, ill-defined 1d Yu. Serious illness, outpatient cerebral infarction income hospital. Previous coronary heart disease, paroxysmal atrial fibrillation more than 10 years history, admission diagnosis: (1) cerebral embolism, (2) coronary heart disease paroxysmal atrial fibrillation, (3) double knee replacement . Improve the relevant inspection and laboratory admission. Patients with multiple drug allergies, CT showed left temporal parietal infarction, diagnosis of cerebral infarction clear. Give anti-platelet aggregation, scavenging oxygen free radicals, anticoagulation, improve cardio-cerebral circulation and symptomatic treatment. Chest tightness, heart again on the afternoon of one day