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我院收治5例以脑梗塞形式起病的脑肿瘤,现报告如下:例1:女,70岁。头痛、左侧肢体活动不灵10天入院。无呕吐及抽搐,无高血压病史。“慢性支气管炎”史5年。查体:血压18.7/10.7KPa。神志清,言语欠流利,左侧肢体偏瘫,肌力3级,左侧 Babinski 氏征(+)。拟诊为脑血栓形成。但入院后病人咳嗽、发热,体温37.8℃。常规拍胸片:支气管肺癌。CT 检查:颅内占位性病变,转移癌的可能性大。例2:女,71岁。右下肢活动不灵半个月入院:无高血压病史,但近2年来时有咳嗽,无咯血史。查体:神志清,言语欠流利
Our hospital admitted to 5 cases of cerebral infarction in the form of brain tumors, are as follows: Example 1: Female, 70 years old. Headache, left limb movement is not working 10 days admitted. No vomiting and convulsions, no history of hypertension. “Chronic bronchitis” history of 5 years. Physical examination: blood pressure 18.7 / 10.7KPa. Consciousness, ill-fluent speech, hemiparesis of the left limb, muscle strength 3, left Babinski’s sign (+). To be diagnosed as cerebral thrombosis. But after admission, the patient cough, fever, body temperature 37.8 ℃. Conventional chest radiograph: bronchial lung cancer. CT examination: intracranial space-occupying lesions, the possibility of metastatic cancer. Example 2: Female, 71 years old. Right lower extremity activities are not working half a month admitted to hospital: no history of hypertension, but the past two years when there is a cough, no history of hemoptysis. Examination: Consciousness, speech unfamiliar