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例1,女,55岁,高血压病史7-8年,血压波动于22-25/12-13kPa,未正规服药治疗。发病前1周;常感右侧额部隐痛,呈阵发性,无恶心,呕吐,曾在本院诊为偏头痛,给予颅通定,去痛片,服药后3天感右侧肢体取物欠稳,乏力,自服潘生丁、维体舒,静点脉通液等;头痛加重;肢体无特殊变化来诊。查体:BP22/12kPa,心肺(-)腹软,肝、脾(-)。神清语利,动脉硬化性眼底,左颞侧点状出血。左侧上下肢肌力V~-,肌张力不高,肱二、三头肌反射(++),桡骨膜反射(++),左巴氏征(±);左指鼻试验欠稳(?),左轮替试验缓慢;植物神经(-)。
Case 1, female, 55 years old, history of hypertension 7-8 years, blood pressure fluctuations in 22-25 / 12-13kPa, not formal medication. 1 week before onset; often feel the right frontal pain, paroxysmal, no nausea, vomiting, had a diagnosis of migraine in our hospital, give cranialgia, to pain tablets, 3 days after taking the right side of the body to take Things are not stable, fatigue, self-serving dipyridamole, Victoria body Shu, intravenous infusion of fluid; headache aggravating; no special changes in body diagnosis. Physical examination: BP22 / 12kPa, cardiopulmonary (-) abdomen soft, liver, spleen (-). God Qing language profits, atherosclerotic fundus, left temporal punctate bleeding. Left upper limb muscle strength V ~ -, low muscle tone, brachial and triceps reflexes (++), radial membrane reflex (++), left Pakistan sign ?), Left round for slow test; autonomic (-).