【病例】　男 ,56y,因言语不利 ,左侧肢体力弱1 2 h,以急性脑血管意外收入我院内科。既往有阵发室上性心动过速病史 30余年 ,高血压病史 2 0余年 ,糖尿病病史 2 a,无血红蛋白尿史。入院查体 :BP1 6/9.3k Pa ( 1 2 0 /70 mm Hg) ,神清 ,双肺呼吸音清 ,心界不大 ,HR 78beats/min, [Case] ​​Male, 56y, due to poor speech, left limb weakness 1 2 h, with acute cerebrovascular accident income in our hospital. Previously, paroxysmal supraventricular tachycardia history of more than 30 years, history of hypertension more than 20 years, a history of diabetes 2 a, no history of hemoglobinuria. Admission examination: BP1 6 / 9.3k Pa (120/70 mm Hg), Shen Qing, lung breath sounds clear, heart, HR 78beats / min,