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病历摘要男患,50岁。因头晕于1986年5月24日到我院就诊。门诊查体;血压180/100mmHg,心率68次/分,左心界增大1.0cm,主A_2亢进,余无异常所见。投给降压乐一片口服,半小时后感头晕渐重,走路不稳,排尿约800ml,随即出现右侧肢体麻木、运动不灵。测血压80/50mmHg,以脑血栓形成收入院。一年前体检时发现高血压、动脉硬化。末予治疗。查体:意识清、右鼻唇沟稍浅,右侧肢体痛觉减弱,右上肢肌力○级,肌张力低,肱二、三头肌反射消失,右下肢肌力Ⅳ级,张力减弱,巴彬斯基反射
Medical history male suffering, 50 years old. Due to dizziness in May 24, 1986 to our hospital. Outpatient examination; blood pressure 180 / 100mmHg, heart rate 68 beats / min, left heart increased 1.0cm, the main A_2 hyperthyroidism, I see no abnormalities. Cast for relief music an oral, half an hour after feeling dizzy, walking unsteady, about 800ml of voiding, then appear on the right side of the numbness, movement is not working. Blood pressure 80 / 50mmHg, cerebral thrombosis income hospital. A year ago physical examination found that high blood pressure, arteriosclerosis. At the end of treatment. Physical examination: clear consciousness, the right nasolabial fold slightly lighter right lower extremity pain relief, right upper limb muscle strength ○, low muscle tension, brachial and triceps reflex disappeared, right lower extremity muscle strength Ⅳ, tension weakened, Pakistan Binnsky reflection