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1病例介绍患者女,80岁。因“呼之不应2.5h”于2009年7月22日入院。专科查体:嗜睡,双瞳孔等大等圆,直径4mm。右上肢扬鞭试验(-),向左侧凝视,左上肢肌力3级,左下肢肌力3-级,右上肢0级,右下肢3级,左侧腱反射稍活跃,双侧病理征阳性。予溶栓治疗。7月23日患者意识转为清楚,可正常说话,生命体征平稳。双瞳孔3mm,对光反射灵敏,双眼球活动到位,右侧肌力明显恢复,右侧上、下肢肌力5级。
1 case description Female patient, 80 years old. Because of “call should not be 2.5h ” on July 22, 2009 admission. Specialized examination: lethargy, double pupil and other large circle, diameter 4mm. Right upper limb Yang whip test (-), to the left gaze, left upper limb muscle strength 3, left lower extremity muscle strength 3 -, right upper limb 0, right lower extremity 3, left tendon reflex slightly active bilateral pathological signs Positive. To thrombolytic therapy. July 23 awareness of patients became clear, can speak normally, vital signs stable. Double pupil 3mm, sensitive to light reflection, eyeball activities in place, the right muscle strength was significantly recovered, the right upper and lower limb muscle 5.