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患者,男,46岁.因四肢瘫痪3小时,于1987年5月5日下午5时入院.患者7年前患鼻咽癌.3年前曾发生过四肢软瘫,经补液治疗3～4天后恢复,(具体用药不详.)入院当天上午作头部 CT 检查时加用增强剂(泛影葡钠),下午突然四肢无力,摔倒在地,大小便失禁,随即送入病房治疗.体检:T36℃,P76次/分,R22次/分,BP120/60mmHg.神志清楚,表情淡漠.瞳孔等大,对光反射存在,口角无倾斜.甲状腺无明显肿大.颈静脉无怒张.肺部正常.心界不大,心律整齐,未闻及病理性杂音.腹平软,肌脾不大,肠鸣音减
The patient, male, aged 46, was paralyzed for three hours on four limbs and was admitted at 5 pm on May 5, 1987. The patient had nasopharyngeal carcinoma seven years ago. Day after the resumption of (specific medication unknown.) The morning of admission for head CT examination with augmentation agent (sodium dextran), suddenly weakness in the afternoon, fell to the ground, incontinence, and then into the ward treatment. : T36 ℃, P76 beats / min, R22 beats / min, BP120 / 60mmHg. Clear mind, expression indifferent pupil and so on, the presence of light reflex, no tilt angle. Thyroid no obvious enlargement. Department of normal. Heart is not, heart rhythm, no smell and pathological murmurs. Abdomen soft, muscle spleen is not big, bowel sounds reduced