患者,男性,67岁。一年前患食管癌,间断进行放疗和化疗,既往无高血压病史和糖尿病史。因一过性意识障碍、失语、烦躁和右上肢瘫痪1小时于1989年1月12日入院。体检:体温37℃,呼吸24次,脉搏110次,血压12/8kPa,手足发凉,烦躁,混合性失语,右上肢坠落实验(+),小便失禁,检查咽反射后患者即刻出现恶心 Patient, male, 67 years old. A year ago suffering from esophageal cancer, intermittent radiotherapy and chemotherapy, no previous history of hypertension and diabetes history. Due to a transient disturbance of consciousness, aphasia, irritability and paralysis of the right upper limb 1 hour on January 12, 1989 admission. Physical examination: The temperature 37 ℃, breath 24 times, pulse 110 times, blood pressure 12 / 8kPa, hand and foot cold, irritability, mixed aphasia, right upper extremity fall experiment (+), urinary incontinence,