论文部分内容阅读
A(副教授):请主管医师简要报告42床患者的病历。B(实习医师):患者男,32岁,职业木工,济宁市人。因持续血压高,头痛、头晕门诊治疗无效,以高血压原因待查于昨日入院。患者8个月前于劳动中突然昏倒,不省人事,小便失禁来院急诊,以“急性脑血管病”住神经内科。查体:血压180/120,浅昏迷,中枢性面瘫,右侧偏瘫。脑脊液除压力高外,化验正常,给予降压药,脱水剂、促脑细胞代谢剂等治疗,次日神志转清,但失语。此后曾用扩血管药、针灸及其他对症治疗。右上肢肌力恢复为Ⅱ°右下肢肌力恢复Ⅲ°,血
A (Associate Professor): Ask your supervisor to give a brief report on the medical records of 42 patients. B (intern): patient male, 32 years old, professional carpentry, Jining City. Due to persistent high blood pressure, headache, dizziness out-patient treatment is invalid, to check the cause of hypertension admitted to hospital yesterday. Patient suddenly fainted in labor eight months ago, unconscious, urinate incontinence to hospital emergency, “acute cerebrovascular disease” living in neurology. Physical examination: blood pressure 180/120, shallow coma, central paralysis, right hemiplegia. In addition to high blood pressure of cerebrospinal fluid, the test was normal, given antihypertensive drugs, dehydrating agent, brain cell metabolism agents and other treatment, consciousness clear the next day, but aphasia. Since then vasodilators, acupuncture and other symptomatic treatment. Right upper limb muscle strength recovery Ⅱ ° right lower limb muscle strength recovery Ⅲ °, blood