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患者 女,24岁,于1991年7月21日晚6时无明显诱因突然出现张口困难,构音障碍,严重口吃,伴有头晕,无抽搐及呕吐,二便正常。于当晚8时收入我院急诊室留观。既往体健,无类似病史。体查:血压12/8kPa,神志清,自动体位,张口困难,严重口吃,五官(-),颈软,心肺听诊(-),腹部(-),神经系统检查未发现阳性体征。诊断:短暂性脑缺血发作,严重口吃。入院后即给予低分子右旋糖酐500ml+复方丹参8ml静脉点滴,同时给予脑细胞激活剂等治疗3天,症状无改善,改用体外反搏治疗,压力为0.4公斤,每天1小时,第3天患者口吃减轻,头晕消失,第5天口吃消失,治愈出院。
Female, 24 years old, no apparent incentive at 6 pm on July 21, 1991 A sudden onset of dilation, dysarthria, severe stuttering, dizziness, convulsions and vomiting were noticed. At 8 o’clock that evening income hospital emergency rooms to watch. Past physical health, no similar history. Physical examination: blood pressure 12 / 8kPa, conscious, automatic position, mouth difficulties, severe stuttering, facial features (-), neck soft, cardiopulmonary auscultatory (-), abdomen (-), neurological examination found no positive signs. Diagnosis: transient ischemic attack, severe stuttering. After admission to give low molecular weight dextran 500ml + 8ml compound Danshen intravenously, while giving brain cell activator and other treatment for 3 days, no improvement in symptoms, switch to external counterpulsation treatment, pressure of 0.4 kg, 1 hour per day, the first 3 days of patients stuttering Reduce, dizziness disappear, stuttering disappeared on the 5th day, cured and discharged.