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1.临床资料性别:男性,47例;女性,83例。年龄:20岁～40岁17例;41岁～60岁63例;61岁以上50例。病因:风心病,75例,冠心病52例,亚急性细菌性心内膜炎2例,梗阻性心肌病1例。 2.临床症状和体征发病时形式:动态发病94例,静态发病36例。首发症状:头痛37例,头晕48例,抽搐32例其中癫痫大发作4例。同时伴有精神障碍8例,尿失禁18例,呕吐12例。体征:意识状态呈嗜睡10例,意识混浊7例,昏迷28例。混合性失语11例,完全运动性失语37例,不完全运动性失语46例,有共同偏视55例,眼底呈动脉硬化53例,高血压症35例。瘫痪形式:颅神经损伤主要表现为中枢性面瘫及舌下神经瘫。肢
1. Clinical data Sex: male, 47 cases; female, 83 cases. Age: 20 years old to 40 years old in 17 cases; 41 years old to 60 years old 63 cases; 61 years old and above 50 cases. Etiology: rheumatic heart disease, 75 cases, coronary heart disease in 52 cases, 2 cases of subacute bacterial endocarditis, obstructive cardiomyopathy in 1 case. 2. Clinical symptoms and signs of the disease at the time of onset: 94 cases of dynamic disease, static disease in 36 cases. The first symptom: headache in 37 cases, dizziness in 48 cases, convulsions in 32 cases of which 4 cases of epileptic seizures. At the same time with mental disorders in 8 cases, urinary incontinence in 18 cases, vomiting in 12 cases. Signs: Consciousness was drowsiness in 10 cases, confusion in 7 cases, coma in 28 cases. Mixed aphasia in 11 cases, complete exercise aphasia in 37 cases, incomplete exercise aphasia in 46 cases, 55 cases of common partial vision, fundus showed arteriosclerosis in 53 cases, 35 cases of hypertension. Paralyzed form: The main manifestations of cranial nerve injury is facial paralysis and hypoglossal nerve palsy. limb