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基底动脉尖综合征TOB(the basilar syndrome)作为一种特殊类型的脑干血管病,约占脑梗塞的7％,国内很少报道。现将我院今年初收治的,经白求恩医大一院刘多三教授会诊,确诊为TOB综合征的病例1例,临床报告如下。杨占林,男,59岁,患者既往有高血压病史6年,因头晕、恶心、呕吐4小时,突然意识丧失,30分钟后恢复,2小时后呈嗜睡状,伴视物成双影而入院。患者于92年2月15日下班回家吃午餐时,诉头晕、继之恶心,呕吐数口胃内容物。在他人倍伴下步行去医院看病。在门诊突然意识丧失,当时测BP32/16kPa,左瞳孔散大。约30分钟后,意识恢复,诉头晕、视物成双影,但四肢活动自如,2个小时后,病人呈嗜睡状,伴小便失禁。到入院时已为病后20个小时。当时查
The basilar syndrome of basilar artery syndrome, as a special type of brain stem disease, accounts for about 7% of cerebral infarction, rarely reported in China. Now our hospital was admitted earlier this year, the Bethune Medical University Hospital Professor Liu Duosan consultation, diagnosed as TOB syndrome in 1 case, the clinical report is as follows. Yang Zhanlin, male, 59 years old, had a history of hypertension for 6 years. He was dizzy, nausea and vomiting for 4 hours. He suddenly lost consciousness and recovered after 30 minutes. He became drowsy after 2 hours and was admitted to hospital with double vision. Patients on February 15, 92 at home to go home for lunch, dizziness, followed by nausea, vomiting several stomach contents. Walking with others to go to the hospital for medical treatment. A sudden loss of consciousness in the clinic, was measured BP32 / 16kPa, left pupil dilated. About 30 minutes later, the conscious recovery, v. Dizziness, visual double shadow, but limbs freely, 2 hours later, the patient was drowsy, with urinary incontinence. To hospital after the illness has been 20 hours. At that time check