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患者 女,35岁,农民。1983年起长期服用复方炔诺酮避孕。1987年初无诱因出现左侧肢体麻木无力,伴头痛。头颅CT示右基底节区小灶梗塞。在外院诊断为脑动脉炎,住院治疗20余天后好转出院。后带环避孕。1993年因节育环脱落再次服用复方炔诺酮,于1994年6月23日活动中又出现右侧肢体麻木无力,伴语言不清,呛咳。1周后入我院。无高血压、心脏病、糖尿病、脑外伤等史,无吸烟史。右利手。查体:不全运动性失语,失写,失结构,混合性球麻痹,右肢轻瘫,感觉障碍,双侧掌颏反射及Chaddock征(+)。头颅CT示左基底节区及左顶叶多发小灶梗塞。入院诊断为再发性避孕激素性脑梗塞。化验血脂偏高,余正常。嘱患者禁用口服避孕药。治疗半月后病情好转,自动出院。
Female patient, 35 years old, farmer. 1983 long-term compound norethisterone contraception. No incentive at the beginning of 1987 left limb numbness weakness, with headache. Skull CT showed right basal ganglia infarction. In the outpatient diagnosis of cerebral arteritis, hospitalized more than 20 days after the discharge improved. After ring contraceptive ring. In 1993 due to birth control ring off again taking compound norethindrone, on June 23, 1994 activities in the right limb numbness again, with vague language, cough. 1 week into our hospital. No history of hypertension, heart disease, diabetes, traumatic brain injury, no smoking history. Right hand. Physical examination: Inadequate sports aphasia, loss of writing, loss of structure, mixed ball paralysis, right paresis, sensory disturbance, bilateral palmar chin and Chaddock sign (+). Head CT showed left basal ganglia and left parietal multiple infarction. Admission diagnosis of recurrent contraceptive hormone-induced cerebral infarction. Test high blood lipids, more than normal. Zhu Huanzhe disabled oral contraceptives. Condition improved after half a month treatment, discharged automatically.