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患者,女,62岁,2012年6月30日因突发吞咽困难收住院。既往有高血压、糖尿病、高脂血症病史及多次脑出血、脑梗死病史,有轻度饮水呛咳史,症状突然加重,不能进食。入院体检:T 36.3℃,P 60次/min,BP 155/90 mmHg,神智清楚,眼球活动正常,无眼震。双肺呼吸音粗,心律齐,腹软,无压痛,双下肢无水肿;血常规:Hb 126 g·L~(-1),RBC 4.23 T·L~(-1),WBC 13.14 g·L~(-1),N 79.5%;血脂:TC 5.38 mmol·
Patient, female, 62 years old, June 30, 2012 Admitted to hospital due to sudden dysphagia. Past history of hypertension, diabetes, hyperlipidemia and multiple cerebral hemorrhage, history of cerebral infarction, mild drinking water cough history, the symptoms suddenly aggravated, can not eat. Admission medical examination: T 36.3 ℃, P 60 times / min, BP 155/90 mmHg, clear mind, normal eye activity, no nystagmus. Breathing sound of both lungs was thick, heart rhythm Qi, abdominal soft, no tenderness, no edema of both lower extremities; Hb 126 g · L -1, RBC 4.23 T · L -1, WBC 13.14 g · L ~ (-1), N 79.5%; lipids: TC 5.38 mmol ·