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患者,男性,38岁,干部。主因突然失语5天入院。于入院前5天,患者在工作中突然晕倒,不省人事,2分钟左右意识恢复、失语、无头痛、呕吐、肢体运动障碍及大小便失禁,未用特殊药物治疗。入院查体:T36℃,P86,R22,Bp18.6/10.6kPa。发育正常,营养中等,神智清楚,完全运动性失语,定向力好。双侧额纹对称,眼睑无下垂,双侧瞳孔正大等圆,对光反射灵敏,两侧鼻唇沟对称,伸舌居中,咽反射存在。颈软无抵抗,心肺未见异常,脊柱四肢无畸形,四肢肌力、肌张力正常,双侧肱二三头肌反射、膝腱反射(+),痛温觉正常存在,关节位置觉正常存在,Babinski征(-),GordOn征(-),Hoffmann征(-)。颅脑CT:第四层面左侧基底节区局限性低密度阴影,边缘模糊,其它未见异常。初步诊断:左侧基底节区腔隙性脑梗塞。入院后给予藻酸双脂钠、胞二磷胆硷、脑益嗪等药物治疗,患者
Patient, male, 38 years old, cadre. The main cause of sudden aphasia admitted to hospital for 5 days. Five days prior to admission, the patient suddenly fainted at work, unconsciousness, consciousness recovery within two minutes, aphasia, no headache, vomiting, limb movement disorders and incontinence, without special medication. Admission examination: T36 ℃, P86, R22, Bp18.6 / 10.6kPa. Normal development, moderate nutrition, clear-minded, completely aphasia, good orientation. Bilateral frontal symmetry, no eyelid ptosis, bilateral pupil Zhengda and other round, sensitive to light reflection, both sides of the nasolabial fold symmetry, extensor middle, pharyngeal reflex exists. Neck soft non-resistance, no abnormal heart and lung, spine limbs without deformity, limb muscle strength, normal muscle tone, biceps brachii reflex, knee tendon reflexes (+), pain and temperature sense normal existence of joint position feel normal , Babinski sign (-), GordOn sign (-), Hoffmann sign (-). Brain CT: The fourth floor of the left basal ganglia localized low density shadows, blurred edges, the other without exception. Initial diagnosis: left basal ganglia lacunar infarction. After admission to give alginate sodium, citicoline, brain Yizin and other drug treatment, patients