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患者男性,48岁,住院号550798。因突然头昏、头痛、右测肢体无力伴吞咽困难一天于82年11月28日入院。检查:体温36℃(腋下),脉搏90次/分,呼吸21次/分,血压120/80mmHg。心肺阴性,腹平软,肝脾未扪及,四肢无水肿。神经系统:神清,语音低沉尚清楚,记忆力减退,定向力部份障碍。瞳孔正常,光反应灵敏,眼底正常。咽腭弓上提对称,咽反射正常。右侧肢体肌力四级,肌张力减退。右侧偏身痛触觉减退。右侧腹壁反射及腱反射迟钝。颈软,克匿氏征阴性,右
Male patient, 48 years old, hospital number 550798. Due to sudden dizziness, headache, right measuring limb weakness with dysphagia one day in November 28, 82 admission. Check: temperature 36 ℃ (armpit), pulse 90 beats / min, breathing 21 beats / min, blood pressure 120 / 80mmHg. Heart-lung-negative, abdominal soft, liver and spleen not palpable, limbs without edema. Nervous system: God clear, low voice is still clear, memory loss, part of the obstacles to directional force. Pupil normal, light sensitive, normal eyes. Pharyngeal palatal arch symmetrical mention, pharyngeal reflex normal. Right limb strength four, muscle tension decreased. Right side of the body ache sense of touch diminished. Right abdominal reflex and tendon reflex dull. Neck soft, Ke Yin’s negative sign, right