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患者,男,66岁,住院号00485.1990年4月16日入院,16日上午9时正在读报时,感到左额部轻微头痛、头晕,呈转动性,记忆力下降。无恶心呕吐,能行走,无肢体麻木、无力和瘫痪,无大小便失禁.高血压病史15年,嗜烟酒.查体:p83次/分,Bp26/17kpa,R20次/分,神志清,头颅无畸形,面纹对称,双侧眼裂等大,无眼睑下垂,双侧瞳孔等大等园,对光反射存在,口角无歪斜,伸舌稍偏左.眼底无明显改变,眼球运动正常,双上肢肌力Ⅴ级,右下肢肌力ⅠⅤ级.痛、温觉较对称、减退.四肢肌张力正常.指鼻试验正常,昂伯氏征正常,双侧腱
Patient, male, 66 years old, hospital number 00485 Admitted to hospital on April 16, 1990, at 9:00 on the 16th was reading the newspaper, felt a slight headache on the left hemisphere, dizziness, mobility, memory loss. No nausea and vomiting, able to walk without limb numbness, weakness and paralysis, no incontinence. Hypertensive history of 15 years, addicted to alcohol and tobacco. Physical examination: p83 beats / min, Bp26 / 17kpa, R20 beats / min, Head without deformity, facial symmetry, bilateral ocular fissures and other large, no eyelid ptosis, bilateral pupil and other large park, the existence of light reflexes, mouth no skew, tongue slightly left. No significant change in fundus, normal eye movement , Upper limb muscle strength Ⅴ grade, right lower limb muscle strength Ⅰ Ⅴ grade. Pain, warm feel more symmetrical, decreased. Extremity muscle tone is normal. Finger nose test is normal, Ambient sign normal, bilateral tendon