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患者,女64岁,因头晕、视物旋转、声音嘶哑、饮水呛咳、左侧肢体麻木、无力20余天。于93年6月28日入院。原有风湿性心脏病30余年。入院后查体:体温37℃,脉搏78次/分。呼吸18次/分,血压16/10kpa,神志清,右肺呼吸音低,心界向左扩大,呈房颤律,心尖区可闻及Ⅲ级舒张期杂音,肝脾肋下未触及。言语流利,声音嘶哑,左侧眼裂小于右侧,左侧瞳孔小于右侧,左侧鼻唇沟浅,伸舌右偏,左侧软腭抬举差,悬雍垂偏向右侧,左侧肢体痛觉减退,肌力左侧肢体Ⅵ级,右侧正
Patients, female 64 years old, due to dizziness, depending on the material rotation, hoarseness, drinking cough, left limb numbness, weakness more than 20 days. On June 28, 1993 admitted. The original rheumatic heart disease more than 30 years. After admission, physical examination: body temperature 37 ℃, pulse 78 beats / min. Breathing 18 beats / min, blood pressure 16 / 10kpa, clear mind, the right lung breath sounds low, heart left to expand, showing atrial fibrillation law, apex area can be heard and Ⅲ diastolic murmur, liver and spleen ribs did not touch. Fluent speech, hoarseness, left eye crack is less than the right side of the left pupil is less than the right side of the left nasolabial fold shallow right extensor soft left palate lift poor uvula tend to the right side of the left limb pain Diminished, muscle left limb Ⅵ level, right is positive