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患者男,58岁。因晨起时语言欠流利一天住院。患者酒后入睡。次晨发现床褥尿湿,稍有头晕,语言欠流利。有高血压病10多年。冠心病6年。查体:血压210/110,一般情况好,仅语言不清,无面瘫瞳孔等大等圆。鼓腮不漏气,舌居中,颈无抵抗。心肺肝脾无异常,两侧肢体肌力无明显差异。生理反射存在,病理征未引出。诊为脑血栓形成,高血压病Ⅲ期,冠心病。住院后病情平稳。神经外科会诊,认为脑血栓
Male patient, 58 years old. Due to the morning when the language is not fluent one day hospitalization. Patient drunk to sleep. The next morning found urine wet bed, a little dizzy, the language is not fluent. Hypertension more than 10 years. Coronary heart disease 6 years. Physical examination: blood pressure 210/110, the general situation is good, only the language is unclear, no facial paralysis pupil and other large circle. Drum airtight, tongue middle, neck without resistance. No abnormal heart and lung and spleen, limb muscle strength on both sides no significant difference. Physiological reflex exists, the pathological levy did not lead. Diagnosed as cerebral thrombosis, hypertension stage Ⅲ, coronary heart disease. After hospitalization, his condition was stable. Neurosurgical consultation, that cerebral thrombosis