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血栓性脑梗塞合并缺血性肠坏死较为少见,现将我院经尸检证实的一例报告如下。 邱某,男性,38岁,因右侧半身麻木,肢体瘫痪两月余入院。1979年5月2日晨穿衣时感右半身麻木,肢体无力,活动不便,语言不清。当时神志清楚,无头痛、呕吐及抽搐等,大、小便正常。次日,症状加重,失语,右侧肢体完全瘫痪。在当地医院曾进行腰穿,结果“正常”,脑电图检查“轻度异常”,按“脑血栓形成”住院治疗两个月未见好转。1979年7月5日乘长途公共汽车来我院就医。途中进食少,出汗多,尿少色黄。恶心、腹胀、先后腹泻数次,均为黄色稀便。7月6日上午收入神经内科。
Thrombotic cerebral infarction with ischemic necrosis is relatively rare, now confirmed by an autopsy in our hospital is reported as follows. Qiumou, male, 38 years old, due to the right side of the numbness, limb paralysis more than two months admitted to hospital. May 2, 1979 Morning wear numbness of the right half of the body, limb weakness, activity inconvenience, the language is unclear. At that time conscious, no headache, vomiting and convulsions, large, normal urine. The next day, the symptoms increased, aphasia, the right limb completely paralyzed. In the local hospital had lumbar puncture, the results “normal”, electroencephalography “mild abnormal”, according to “cerebral thrombosis” hospitalization for two months did not improve. July 5, 1979 by long-distance bus to our hospital for medical treatment. On the way to eat less, sweating, less urine and yellow. Nausea, bloating, diarrhea has several times, all yellow loose stools. July 6 morning income neurology.