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患者女,45岁,因言语不清,右侧肢体活动不灵3个月于1999年11月12日入院。查体:T 37℃,P80次·min-1,R 18次·min-1,BP 150/90mmHg,发育营养正常,五官端正,心、肺、腹无阳性体征。神经系统:神志清,智能正常,不全性运动性失语,眼球各方向运动正常,瞳孔等大等圆,光反射存在,眼裂、额纹对称,右侧鼻唇沟浅,伸舌偏右。右侧上下肢肌力Ⅳ~Ⅴ°,肌张力稍高,左侧正常,全身感觉正常,共济运动协调、稳准,腱反射:右侧>左侧;右侧Babinski’s征阳性,左侧阴性,双侧Kernigs征阴
Female, 45, was admitted to hospital on November 12, 1999 due to a vague statement of ill-functioning right limb. Physical examination: T 37 ℃, P80 times · min-1, R 18 times · min-1, BP 150 / 90mmHg, normal nutrition, facial features, heart, lung and abdomen without positive signs. Nervous system: Sense of consciousness, normal intelligence, generalized aphasia, eye movement in all directions, the pupil and other large round, light reflection exists, eye crack, forehead symmetry, right nasolabial fold shallow, tongue right. Right upper quadrant muscle strength Ⅳ ~ Ⅴ °, slightly higher muscle tone, normal left, normal body sensation, coordination of motor coordination, stable, tendon reflexes: right> left; Babinski’s sign positive right, left negative , Bilateral Kernigs sign Yin