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患者男,62岁,高血压病史10余年,9个月前曾发生左外囊出血,按高血压脑出血治疗后,除言语欠清外,其它功能均恢复。此次于1989年11月16日又发生中风。入院体检:神清,Bp160～170/110～100mmHg,颈强直,克氏征及布氏征均阳性,眼底因白内障未窥清。左面舌瘫,软(?)运动无力,发音含糊,两侧肌张力正常,左肌力3°,右5°,两侧肱二头叽反射及膝腱反射均(++),两侧巴氏征(+),感觉正常,有运动性失语。实验室检查:血糖、血胆固醇、三酸甘油脂及β脂蛋白均正常,高密度脂蛋白偏低。血流变学示中风危险因子
Patients male, 62 years old, history of hypertension more than 10 years, 9 months ago, left outer capsule hemorrhage occurred, according to hypertensive intracerebral hemorrhage, except speech, the other functions were restored. The stroke occurred again on November 16, 1989. Admission examination: Shen Qing, Bp160 ~ 170/110 ~ 100mmHg, neck stiffness, Kirschner sign and Clint’s sign were positive, fundus did not see the cataract clear. Left lingual paralysis, soft (?) Exercise weakness, vague vocal, bilateral muscle tone normal, left muscle strength 3 °, right 5 °, both sides of the biceps reflex and knee tendon reflexes are (++) ’S sign (+), feeling normal, aphasia. Laboratory tests: blood glucose, blood cholesterol, triglyceride and lipoprotein were normal, low-density lipoprotein. Hemorheology shows stroke risk factors