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【例1】李某,男,60岁。因记忆力减退、反应迟钝一年就诊。一年前开始记忆力明显减退,尤其是近记忆力减退明显,症状逐渐加重。家人发现其呆滞,反应迟钝、思维贫乏而来院就诊。病人有长期饮酒,吸烟史,发现血压增高已2年。查体:血压22.6/13.3 kPa(170/100 mmHg),神志清楚,言语流利,计算力,定向力,记忆力均下降。颅神经检查正常,眼底动脉硬化Ⅲ级。四肢肌力Ⅴ级。双侧掌颏反射阳性,病理征未引出。血胆固醇5.98 mmol/L,甘油三酯1.15 mmol/L。诊断为高血压病,脑动脉硬化症。给维生素 E(以下简称 VE)100mg,每日1次,脑复康0.8,每
[Example 1] Lee, male, 60 years old. Due to memory loss, unresponsive one year treatment. A year ago began to significantly reduce memory, especially near memory loss significantly reduced, the symptoms gradually increased. The family found that sluggish, unresponsive, poor thinking came to hospital. Patients have long-term alcohol consumption, smoking history, found that blood pressure has increased 2 years. Examination: blood pressure 22.6 / 13.3 kPa (170/100 mmHg), conscious, fluent speech, calculation of force, orientation, memory decreased. Cranial nerve examination was normal, fundus arteriosclerosis grade III. Limb muscle strength Ⅴ level. Palmar bilateral reflex on both sides, the pathological levy did not lead. Blood cholesterol 5.98 mmol / L, triglyceride 1.15 mmol / L. Diagnosis of hypertension, cerebral arteriosclerosis. To vitamin E (hereinafter referred to as VE) 100mg, 1 times daily, brain rehabilitation 0.8, each