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我们近来见到一例伴有顽固性呃逆伴上消化道出血的Wallenberg综合征。现简要报告如下。患者男性,70岁,因眩晕、呕吐4d,于1993年3月5日入院。该患入院4d前开始眩晕,恶心,呕吐,进食困难。体格检查:体温36.0℃。血压24/16kPa,心肺腹部正常,神志清,声音嘶哑,右眼裂变小,右瞳孔缩小(1.5mm),对光反射存在,有水平眼震,右软腭稍下垂,悬雍垂向左偏,左侧咽反射消失,右面部及左侧半身痛觉减退,触觉及深感觉正常,双上肢指鼻试验不准,右侧为著。双下肢跟膝胫试验不稳,右侧为著。双侧轮替试验笨拙,双侧腹壁反射消失,双侧膝腱反射均减弱。病理反射未引出。白细胞9.0×10~9/L,中性0.77,淋巴细胞0.10,胆固醇4.0mmol/L,甘油三
We have recently seen an example of Wallenberg syndrome with refractory hiccups and upper gastrointestinal bleeding. The brief report is as follows. Male, 70 years old, was hospitalized on March 5, 1993 due to dizziness and vomiting for 4 days. The patient dizziness, nausea, vomiting, eating difficulties 4d before admission to hospital. Physical examination: body temperature 36.0 ℃. Blood pressure 24 / 16kPa, cardiopulmonary abdominal normal, conscious, hoarseness, right fissure is small, right pupil shrink (1.5mm), the presence of light reflexes, nystagmus horizontal, right soft palate slightly drooping, left uvula left, Left pharyngeal reflex disappeared, the right side of the left and half of the body pain decreased, the sense of touch and deep feeling normal, both upper extremity refers to the nose test is not allowed, on the right. Both lower extremities and knee tibia test instability, on the right. Unilateral clumping test clumsiness, bilateral abdominal wall reflex disappeared, bilateral knee tendon reflexes were weakened. Pathological reflex did not lead. White blood cells 9.0 × 10 ~ 9 / L, neutral 0.77, lymphocytes 0.10, cholesterol 4.0mmol / L, triglyceride