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×××,女性,64岁。患者于1982年6月12日凌晨3时起床排尿,在排尿终了时突然发生头晕、心悸而跌倒,当即意识丧失,约半分钟发生抽搐,抽时双眼上翻,眼球固定凝视,四肢呈强直性痉挛,约持续1分钟后自行停止,2分钟后意识完全恢复。清醒后自觉乏力和心悸。既往无心悸、气短、癲痫及囊虫症等病,有神经衰弱及气管炎病史。体检:体温36.8℃,脉率70次,血压120/80mmHg。发育正常,营养一般,甲状腺无肿大,颈静脉无怒张,颈强(-)。心音稍弱,心音钝、律正,未闻及杂音。双肺可闻及少量干性啰音,叩诊不浊。腹平软,肝脾不大,双下肢无
×××, female, 64 years old. Patient got up urination at 3:00 am on June 12, 1982. Sudden dizziness, palpitations and fall at the end of urination were immediately lost. About half a minute, convulsions occurred. When her eyes were turned upside down, the eyes were fixed and staring. Her limbs were tonic Spasm, about 1 minute after stopping on their own, 2 minutes after the full recovery of consciousness. After conscious conscious fatigue and palpitations. Past no heart palpitations, shortness of breath, epilepsy and cysticercosis and other diseases, a history of neurasthenia and bronchitis. Physical examination: body temperature 36.8 ℃, pulse rate 70 times, blood pressure 120 / 80mmHg. Normal development, general nutrition, no enlargement of the thyroid gland, jugular vein without tension, neck strong (-). Heart sounds weaker, heart sound blunt, righteousness, no smell and noise. Lungs can smell a small amount of dry rales, percussion is not turbid. Abdomen soft, not large liver and spleen, both lower extremities without