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患者男,69岁,因患“高血压”20年余,右手无力3年余,精神异常4小时于1993年6月14日入院。20年来断续服降压药,3年前因右侧肢体突然偏瘫作脑CT检查诊断为“左基底节腔隙性脑梗塞”,经治疗好转,但遗留右手无力,言语欠清楚。4h前情绪激动后右手无力加重,谵语,血压剧增。体检:P68次/分,BP24/13kPa,神志恍惚,表情淡漠呆傻,右侧鼻唇沟变浅,右上肢肌力Ⅳ级,右巴彬氏征(+)。体型瘦削,皮肤干燥,弹性差。辅助检
Male patient, 69 years old, suffering from “hypertension” more than 20 years, right hand weakness more than 3 years, mental abnormalities 4 hours in June 14, 1993 admission. Intermittent antihypertensive drugs for 20 years, 3 years ago due to sudden right hemiplegia on the right brain CT scan diagnosis of “left basal ganglia lacunar infarction,” the treatment improved, but left right hand weakness, speech is not clear. 4h before the emotion agitation aggravated his right hand, slurred speech, blood pressure surge. Physical examination: P68 beats / min, BP24 / 13kPa, trance, dull expression dull, right nasolabial fissure, right upper limb muscle strength grade Ⅳ, right Ba Bin’s sign (+). Thin body, dry skin, poor elasticity. Assisted inspection