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患者,女,71岁,主因头晕、头痛、舌强语蹇、右半身不遂1天,于1989年3月28日11点30分入院。入院时查体:体温37.2℃,呼吸21次/分,脉搏84次/分,血压23/12kPa(170/90mmHg)。发育中等,营养一般,神清合作,皮肤、巩膜无黄染或出血点,周身浅表淋巴结无肿大。心率84次/分,律整,各瓣膜未闻器质性杂音,双肺可闻干性罗音。腹软,肝脾未触及,肠鸣音正常存在,脊柱四肢无畸形。右侧肢体肌力0度,张力正常,生理反射存在,病理反射未引出。心电图示:心肌供血不足。中风预测提示:血流缓慢,动力不强,脑缺血性疾病。诊断
The patient, female, aged 71, was mainly hospitalized for dizziness, headache, tongue twisting and right hemispheric one day. She was admitted at 11:30 on March 28, 1989. Physical examination at admission: body temperature 37.2 ℃, breathing 21 beats / min, pulse 84 beats / min, blood pressure 23 / 12kPa (170 / 90mmHg). Medium development, general nutrition, clear cooperation, skin, sclera no yellow dye or bleeding point, the whole body superficial lymph nodes without swelling. Heart rate 84 beats / min, law, the valve is not heard of organic noise, lungs can be heard dry rales. Abdominal soft, liver and spleen not touched, bowel sounds exist normally, spine limbs without deformity. Right limb muscle strength of 0 degrees, normal tension, the presence of physiological reflex, pathological reflex did not lead. ECG shows: myocardial insufficiency. Stroke prediction tips: slow blood flow, poor power, cerebral ischemic disease. diagnosis