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例1,男,74岁。因言语不利伴左侧肢体麻木、无力2天于1989年2月2日入院。既往有高血压病史。查体:血压29.3/10.7kPa(220/80mmHg),构音障碍,左面部痛觉减退,左鼻唇沟浅,口角右偏,伸舌左偏,左软腭抬举力弱,咽反射迟钝。左侧上、下肢肌力Ⅳ级。右侧肢体肌力正常。左手指鼻试验跟膝胫试验欠稳。左侧巴彬斯基征阳性。头颅CT:脑干右侧有一1.3cm×1.9cm之高密度影,CT值54Hu,第四脑室轻度左偏。印象:脑干部血肿。住院19天
Example 1, male, 74 years old. Adverse speech with the left limb numbness, weakness 2 days in February 2, 1989 admission. Past history of hypertension. Physical examination: blood pressure 29.3 / 10.7kPa (220 / 80mmHg), dysarthria, left facial pain decreased, left nasolabial fold shallow, right angle deviation, left extensor tongue, left soft palate lift weak, slow pharyngeal reflex. On the left, lower limb muscle strength Ⅳ. Right limb muscle strength normal. Left finger nasal test with knee shin test is not stable. Left Babinski sign positive. Head CT: the right side of the brain stem has a high density 1.3cm × 1.9cm shadow, CT value 54Hu, fourth left ventricular mild left. Impression: brain stem hematoma. 19 days hospitalization