论文部分内容阅读
[例1]女,56a,主因左上、下肢活动不灵4mo,左侧肢体麻木、头晕1wk住院.有高血压史2a.查体:BP 163/96 mmHg(22/13kPa),心肺未闻异常.左上、下肢肌力Ⅲ级,肱二三头肌、膝腱反射亢进,左巴彬斯基征阳性.入院时脑CT示:4~5层面右基底节区有一低密度灶.诊断为脑梗死.给消栓灵0.84u加入10%GS液500ml中iv gtt,10d一疗程,1wk后肢体麻木减轻,头晕消失,BP18/11kPa.于第2疗程d7,病人活动中突感左上、下肢无力加重,言语不清,
[Example 1] female, 56a, mainly due to left upper and lower extremity activities unbalance 4mo, left limb numbness, dizziness 1wk hospitalized .Hypertension history 2a. Physical examination: BP 163/96 mmHg (22 / 13kPa), cardiopulmonary anomalies Upper left and lower limb muscle strength Ⅲ, brachial and biceps muscle, knee tendon hyperreflexia, left Babinski sign positive brain CT showed admission: 4 ~ 5 level right basal ganglia area has a low density lesions diagnosed with brain Infarction 0.84u added to 10% GS solution 500ml in the iv gtt, 10d a course of treatment, after 1wk limb numbness, dizziness disappeared, BP18 / 11kPa. In the second course of d7, the patient’s activities in the sudden sense of left upper extremity weakness Aggravate, unclear speech,