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男患,38岁,驾车时被人用木棒击伤左侧头顶部,当时昏迷2～3分钟,醒后左面部麻木,言语稍不清,右上、下肢稍无力来诊。查体:神志清楚,轻度构音障碍,双瞳孔等大、正圆,光反应(+),左眼外展轻度受限,左侧鼻唇沟略浅,伸舌偏右,右上、下肢肌力稍差,下肢明显,右手指鼻不准,轮替动作苯拙,右跟膝径试验不准,与肌力减退不相称,右半身痛觉减退,右侧肱二、三头肌反射,膝反射右侧强于左侧,右侧巴氏征阳性。头部CT扫描在桥脑左侧为主的基底被盖部可见3cm×
Male suffering, 38 years old, was driven by a wooden stick wounded at the top of the left head, then coma for 2 to 3 minutes, woke up the left facial numbness, slurred speech, upper right, lower limbs weak to visit. Physical examination: conscious, mild dysarthria, double pupil and other large, is round, light response (+), left eye abduction mild limited, left slightly shallow lip and lip, drooping tongue right, upper right, Lower limb muscle strength is slightly poor, obvious lower limbs, right fingers are not allowed, turn motivation benzene humble, right with knee diameter test is not allowed, not commensurate with loss of muscle strength, right half-body pain, right brachial, triceps reflex , Knee reflex right than the left, right Pap’s positive sign. Head CT scan in the pons on the left side of the base is covered by visible 3cm ×