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患者周某,男,54岁,枞阳县农民。因摔倒后失语,右侧上下肢活动受限7小时,于1993年6月4日急诊入院。体检:T37．3℃,BP29/16kPa,神志不清,吸吸平稳。全身皮肤粘膜无黄染,未见出血点,瘀斑,浅表淋巴结不肿大。巩膜无黄染,瞳孔左侧缩小直径约1mm,右侧正常,对光反射均减弱,舌向右偏斜,颈有抵抗。心率56次/分,律齐,各瓣膜区未闻及病理性杂音,两肺呼吸音清晰,腹软,肝脾肋下未及。神经系统检查;右巴氏征(+),右膝反射减弱。入院诊断:脑溢血,原发性高血
Patient Zhou, male, 54 years old, farmers Zongyang County. Aphasia after falling, right upper and lower extremity activities limited 7 hours, on June 4, 1993 emergency admission. Physical examination: T37.3 ℃, BP29 / 16kPa, unconsciousness, sucking smoother. No yellow skin mucosa, no bleeding, ecchymosis, superficial lymph nodes are not swollen. Sclera no yellow dye, left pupil diameter reduction of about 1mm, the right side of the normal, the light reflex are weakened, the tongue is skewed to the right, the neck has resistance. Heart rate 56 beats / min, law Qi, the valve area is not known and pathological murmur, clear breath sounds of both lungs, abdomen soft, liver and spleen ribs and not yet. Neurological examination; right Pakistan’s sign (+), right knee reflex decreased. Admission diagnosis: cerebral hemorrhage, primary high blood