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患者男性,60岁,干部。因突然左偏身异麻钝木,左上下肢无力2日于1986年5月30日入院。检查:BP18.7/12.0kPa,神智清楚,颅神经(一);眼底小动脉变细。左上下肢肌力Ⅴ~-度,左侧偏身针刺觉减低,未引出病理反射。血糖及血脂正常。颅脑CT扫描示右颞叶低密度灶。经潘生丁、阿斯匹林、抗栓丸、r~-氨酪酸和乙酰谷酰胺治疗,7月12日痊愈。1987年6月起一直服用藻酸双酯钠(PSS)片50mg,一日3次,无异常反应。1988年4月26日中午12时,突然感右手力弱,右口角流涎,语言含糊不清,无头痛及呕吐,步行2公里来我院就诊:BP.21.3/13.3kPa,P82次,双侧瞳孔2.5mm,对光反应灵敏,眼底未见渗出及出血,右侧鼻唇沟浅,伸舌右偏,右上下肢肌力Ⅴ~-度,颈项软,未引出病理反射。颅脑CT扫描左侧基底节外囊区一圆形境界清晰的高密度灶,约为12×15
Male patient, 60 years old, cadre. Left abdomen due to sudden Hemp dull, left upper limb weakness on the 2nd in May 30, 1986 admission. Check: BP18.7 / 12.0kPa, clear mind, cranial nerves (a); retinal arterioles thinner. Left upper limb muscle strength Ⅴ ~ - degree, the left side of the body acupuncture reduced, did not lead to pathological reflex. Blood sugar and blood lipids are normal. Brain CT scan showed right temporal lobe low density lesions. By dipyridamole, aspirin, antithrombosis pills, r ~ - ammonia butyrate and acetyl glutamine treatment, July 12 heal. Since June 1987 has been taking sodium alginate (PSS) tablets 50mg, three times a day, no abnormal reaction. April 26, 1988 at 12 noon, a sudden sense of right hand weakness, right mouth salivation, vague language, no headache and vomiting, walking 2 km to our hospital: BP.21.3 / 13.3kPa, P82 times, both sides Pupil 2.5mm, sensitive to light, no exudation and bleeding in the fundus, the right nasolabial fold shallow, tongue right deviation, right upper limb muscle strength Ⅴ ~ - degree, neck soft, did not lead to pathological reflex. Brain CT scan of the left basal ganglia area of a circular clear high-density focus, about 12 × 15