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患者男性,48岁。89年23日晚6时许饮白酒一两。半小时后,出现迷糊,行走不稳,左右摇晃,但无固定倾斜位。吐一次。次晨6时家人发现患者四肢均不能动,流泪不语,多汗,尿失禁,阵发性强直性肢体抽搐,以上肢明显。急诊入院。 76年曾患SAH。否认高血压、糖尿病史。查体:BP17.6/12.2 KPa,神清,嗜睡,无主动语言,压眶可见去脑強直样发作。双眼底视盘界清,动脉稍细,反光略强。上睑无下垂。双眼外展稍受限,垂直眼动正常。辐辏不能。眼一前庭反射消失。有时可见两眼水平浮动。双瞳孔等大同圆约3
Male patient, 48 years old. 89 at 23 o’clock on the 23rd to drink liquor one or two. Half an hour later, confused, unstable walking, shaking around, but no fixed tilt position. Spit it again. 6 am the next morning the family found that patients can not move the limbs, tears, sweating, incontinence, paroxysmal twitching limbs to the upper limb obvious. Emergency admission. 76 years had SAH. Denied high blood pressure, diabetes history. Physical examination: BP17.6 / 12.2 KPa, Shen Qing, drowsiness, no active language, orbital seen tetanic attacks. Binocular optic disc sector clearance, arterial slightly thin, reflective slightly stronger. No ptosis on the upper eyelid. Bilateral outreach slightly limited, normal eye movements. Convergence can not. A reflection of the vestibule disappeared. Sometimes it can be seen that both eyes float horizontally. Double pupils and other Datong round about 3