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男性,60岁,大学文化程度。于1994年5月9日入院。患者近1月来逐渐表现紧张、多疑、丢三拉四,8天前突然头晕、血压偏高(20.6/14kPa),住入当地医院,次日家人发现其记忆力明显减退,发呆,2天后有两次全身强直一阵挛性发作,每次持续3～4分钟即止,随后寡言少语少动,不识家人及病房,时哭时笑时而恐惧,生活不能自理。既往体健。查体:右利手,神经系统未见异常体征。眼底动脉硬化2级。神志清晰,表情较呆滞,反应较迟钝,无异常行为。缺乏主动性,无主动接触,被动接触尚可。时间定向正常,人物、地点定向障碍,未发现幻觉及妄想。情感淡漠,不知饥饱。近期遗忘(早餐食物和几个小时前被告知的大夫姓名均记不
Male, 60 years old, college education. On May 9, 1994 admission. The patient gradually showed nervousness, suspiciousness and loss in the past 1 month. Four, sudden dizziness and high blood pressure (20.6 / 14kPa) eight days earlier admitted to the local hospital. The next day, his family members found that their memory was significantly diminished and they were in a daze. Twice a full body tonic bursts of seizures, each lasting 3 to 4 minutes, followed by few words and few words, and do not know the family and the ward, crying and laughing when the fear, life can not take care of themselves. Past physical health. Physical examination: right hand, the nervous system no abnormal signs. Fundus atherosclerosis level 2. Consciousness, dull expression, slow response, no abnormal behavior. Lack of initiative, no active contact, passive contact is acceptable. Time-oriented normal, people, places directional disability, did not find the illusion and paranoia. Indifference, I do not know hunger. Recently forgotten (breakfast food and the name of the doctor told a few hours ago are not remember