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患者男,41岁。高血压病史8年,因头晕1周,左侧肢体无力2天入院。查体:血压25.3/16kPa,语言尚流利,眼底视网膜动脉硬化Ⅱ期,其余无明显异常。心电图示左室劳累,初诊为高血压病Ⅲ期,短暂性脑缺血发作。住院后给予降血压、扩充血管治疗,静滴低分子右旋糖酐500ml,连用10天无不良反应。间隔1周后,继续第2疗程静滴低分子右旋糖酐治疗,静滴第1天病人突感右侧前额头痛剧烈,并伴呕吐、反应迟钝及失语。查血压20/13.3kPa,左侧肢体麻木,呈痉挛性瘫痪,左侧鼻唇沟变浅,口角稍偏向右侧,舌体左偏,病理反射阳性。CT诊断为脑出血(右侧额顶叶有出血灶)。经立
Patient male, 41 years old. Hypertensive history of 8 years, 1 week due to dizziness, left limb weakness 2 days admission. Physical examination: blood pressure 25.3 / 16kPa, the language is fluent, fundus retinal atherosclerosis Ⅱ, the rest without obvious abnormalities. ECG left ventricular fatigue, the initial diagnosis of hypertension stage Ⅲ, transient ischemic attack. After admission to give blood pressure, blood vessel expansion, intravenous infusion of low molecular weight dextran 500ml, once every 10 days without adverse reactions. After a lapse of 1 week, continue the second course of intravenous infusion of low molecular weight dextran treatment, intravenous infusion of the first day of sudden onset of the patient’s forehead, severe headache, accompanied by vomiting, unresponsiveness and aphasia. Check the blood pressure 20 / 13.3kPa, left limb numbness, was spastic paralysis, the left nasolabial fissure shallow, slightly skewed to the right side of the mouth, tongue left deviation, pathological reflex positive. CT diagnosis of cerebral hemorrhage (right frontal lobe hemorrhage). Erected