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例1 男性,55岁。发病前数日反复多次饮酒,量较多,后突发恶心、呕吐咖啡色物3次,量约1500ml,之后一直昏睡,第2日出现柏油便1次,被家人送来我院就诊,因4年前有上消化道出血病史,故认为旧病复发,收入我院消化内科诊治。入院后发现右侧上、下肢活动不佳,且日渐加重,查体:患者呈嗜睡状,表现不全运动性失语,双眼向右凝视,右侧肢体肌力0级,张力减低,生理反射较对侧减弱,右侧巴彬斯基征(+),行头颅CT检查提示:左侧颞顶部大片脑梗塞,后转入神经内科治疗1个月后好转出院。
Example 1 male, 55 years old. A few days before the onset of repeated drinking many times, after a sudden nausea, vomiting coffee brown three times the amount of about 1500ml, has been sleeping, the second day there will be a tar, was sent to our hospital for treatment, due to 4 years ago, a history of upper gastrointestinal bleeding, so that old disease recurrence, income in our hospital digestive medicine diagnosis and treatment. Admission found that the right upper and lower extremities poor activity, and increasing, physical examination: patients were drowsy, performance of athletic aphasia, eyes staring right, right limb strength 0, lower tension, physiological reflect more Side weakening, right Babinski sign (+), line head CT examination showed: large left cerebral infarction at the top of the head, after the transfer to Neurology 1 month after the treatment was better discharged.