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病例:男性,47岁.入院前10小时睡眠中突然大叫一声,继之意识不清,四肢抽搐,约10分钟后抽搐停止,意识恢复.3小时后又类似发作2次,伴尿失禁,此后意识不清,烦躁不安.病后6小时脑 CT 扫描示右额叶片状低密度影.门诊诊断“脑梗塞”收入院.三个月前有类似发作1次,当地按脑血管病治疗。患风心病已22年,5年前有排绦虫史。体检:P86次/分,BP18.6/13.3kPa,神志不清,躁动不安,无皮下结节,心尖部可闻及舒张期杂音,心律齐,余神经系统无局灶性体征。
Case: male, age 47. Suddenly shriek in the sleep 10 hours before admission, followed by unconsciousness, convulsions of the limbs, convulsions stopped after about 10 minutes, recovery of consciousness, and 3 hours after the onset of a similar episode 2 with urinary incontinence, Since then, unconsciousness, irritability.Height 6 hours after the brain CT scan showed right frontal lobe-like low-density shadow .Outpatient diagnosis of “cerebral infarction” income hospital .There were similar attacks three months ago, according to the local treatment of cerebrovascular disease. Has been suffering from rheumatic heart disease for 22 years, 5 years ago, there is a history of tapeworms. Physical examination: P86 beats / min, BP18.6 / 13.3kPa, unconscious, restless, no subcutaneous nodules, apex of the heart can be heard and diastolic murmur, Qi Qi, the remaining nervous system without focal signs.