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患者男性,72岁,1982年10月13日入院。主因左侧肢体麻木5天、运动障碍1天。既往有高血压病史6年。查体:BP140/100。左侧鼻唇沟变浅。心界向左下扩大,主动脉瓣区可闻及Ⅲ级收缩期杂音。左侧上下肢肌力3级,肌张力稍高,无感觉障碍,病理反射未引出。诊为高血压、脑血栓形成。于入院第二天给予低分子右旋糖酐300ml 加维脑路通200mg 静点,每日一次,用一周;后用维脑路通100mg 肌注、每日二次、一周。用药期间,患者每晚双下肢酸胀不适,甚至不
Male patient, 72 years old, admitted to hospital on October 13, 1982. Mainly due to left limb numbness 5 days, dyskinesia 1 day. Past history of hypertension 6 years. Physical examination: BP140 / 100. The left nasolabial fissure shallow. Heart to the left to expand the aortic valve area can smell and Ⅲ systolic murmur. Left upper limb muscle strength 3, slightly higher muscle tone, no sensory disturbances, pathological reflex did not lead. Diagnosis of hypertension, cerebral thrombosis. On the second day of admission to give low molecular weight dextran 300ml plus verapamil 200mg static point, once a day, with a week; after intravenous Viagra intravenously 100mg intramuscularly, twice daily for a week. During medication, patients with lower limbs soreness discomfort every night, not even