1病历摘要男,52岁。于2010-04因双下肢进行性无力2 d住院。患者平素有高血压病史,一直口服吲达帕胺片控制血压。入院2d前出现双下肢无力并逐渐出现右上肢无力,在私人诊所静脉用药(药名不详)无好转,且双下肢无力渐加重来我院就诊并收入院。入院查体:BP 150/90 mm Hg,神志清楚,言语流利,十二对颅神经无异常,双肺呼吸音清,律规则,各瓣膜未闻及杂音,腹平软 1 medical record summary male, 52 years old. In 2010-04 due to weakness of both lower extremities 2 d hospitalization. Patients usually have a history of hypertension, oral indapamide tablets have been controlled blood pressure. 2d before admission appear weakness in both lower extremities and gradually appear in the right upper limb weakness, intravenous medication in private clinics (drug name unknown) no improvement, and double lower extremity weakness gradually increased to our hospital and income hospital. Admission examination: BP 150/90 mm Hg, clear mind, fluent speech, no abnormal cranial nerves on the twelve, breath sounds clear lungs, law rules, the valve did not smell and noise, flat belly