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患者,男,72岁,主因头晕二天,左侧偏瘫3小时于88年2月4日23:00入院。两天前无明显诱因感头晕,左侧肢体麻木,到某医院做心电图未见异常,“B”超示左室壁肥厚扩大。1小时前自服消心痛5片(50m)后即去厕所小便,回屋时摔倒在门口,呼之不应,大便失禁,左侧肢体瘫痪,未呕吐、无抽搐。既往体腱,未测过血压。查体T36.5℃,P 88次/分,BP14/9kpa,神萎,额纹对称,两侧瞳孔正大等圆,对光反射迟钝,
Patients, male, 72 years old, the main dizzy for two days, left hemiplegia 3 hours at February 4, 88 at 23:00 admission. Two days ago no obvious incentive to feel dizzy, numbness on the left limb, to a hospital ECG abnormalities did not occur, “B” ultrasound showed enlarged left ventricular wall hypertrophy. 1 hour ago, since the service consumer heartache 5 (50m) after going to the toilet urinate, fall back at the door when the house, call should not, stool incontinence, left limb paralysis, no vomiting, no convulsions. Past tendon, not measured blood pressure. Physical examination T36.5 ℃, P 88 beats / min, BP14 / 9kpa, Shen Wei, forehead symmetry, both sides of the pupil Zhengda round, slow light reflex,