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患男,61岁干部,住院号66219。右利手。患者于1987年11月22日晨起床后言语不清,以致完全性失语16小时入院。查体:血压17.3/10.7(130/80mmHg),脉搏84次/分。神志清楚,言语极度困难,只能发单个语音,不能令人理解;也不能完成指令性动作,如令其张口、伸舌等。患者茫然不知所措。颅骨神经无异常,四肢肌力肌张力正常Babinski征双侧阴性。血清胆固醇7.23mmol/L(278mg％)。心电图示Ⅰ°房室传导阻滞。病后七天颅脑CT扫描显示左大脑半球额叶和颞叶各有一个局限低密度病灶。临床诊断为多发性动脉硬化性脑梗塞。经常规治疗和语言功能训练,住院24天好转出院。病后八个月随访,病人语言功能基本恢复,能与人正常交谈。 讨论 完全性失语以言语产生、听觉理解和复
Suffering from male, 61-year-old cadre, hospital number 66219. Right hand. The patient became ill-informed after getting up on the morning of November 22, 1987, resulting in complete aphasia 16 hours admission. Physical examination: blood pressure 17.3 / 10.7 (130 / 80mmHg), pulse 84 beats / min. Consciousness, speech extremely difficult, can only make a single voice, can not be understood; also can not complete the mandatory actions, such as make it mouth, tongue and so on. Patients at a loss No abnormal skull nerves, muscle tone muscle tone normal Babinski sign bilateral negative. Serum cholesterol 7.23 mmol / L (278 mg%). ECG Ⅰ ° atrioventricular block. Seven days after the illness brain CT scan showed that the frontal lobe and temporal lobe of the left hemisphere have a limited low-density lesions. Clinical diagnosis of multiple arteriosclerotic cerebral infarction. After conventional treatment and language training, hospital discharged 24 days improvement. Eight months follow-up after illness, the patient’s language function basically restored, to talk with normal people. Discussion Complete aphasia is verbal, auditory and complex