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杜××,男,70岁,92—09—11入院。病人入院前4小时大便后觉头晕、后颈不适,继之双目失明,无头痛及肢体瘫痪。平素体健。查体:BP21/13kPa,神清语明,双瞳孔等大4mm,光反射良,双眼底视乳头色正常边缘清晰,双眼无光感。余神经系统无异常。3天后头颅CT检查左枕叶1.5×3.5cm高密度区CT值73Hu,右枕叶1.5×3.0cm低密度区CT值18Hu,右侧侧脑室较大。诊断:左枕叶出血、右枕叶脑梗塞。治疗1个月好转出院。 讨论 基底动脉末端或大脑后动脉闭塞,枕叶出血、外
Du × ×, male, 70 years old, 92-09-11 admitted to hospital. 4 hours before admission, the patient feels dizzy after the stool, neck discomfort, followed by blind eyes, headache and limb paralysis. Usually physical health. Physical examination: BP21 / 13kPa, clear language, double pupil and other large 4mm, good light reflex, binocular end of the normal clear edge of the nipple color, eyes dull feeling. No abnormal nervous system. Three days later, CT scans of 1.5 × 3.5cm high-density CT in the left occipital lobe 73Hu and CT in the 1.5 × 3.0cm low-density occipital lobe 18Hu of the right occipital lobe were observed 3 days later. Diagnosis: Left occipital lobe hemorrhage, right occipital lobe cerebral infarction. Treatment of 1 month improvement and discharge. Discussion of basilar artery or posterior cerebral artery occlusion, occipital lobe hemorrhage, outside