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男、84岁,思睡乏力一个月于1990年6月26日就诊,脑CT示左侧丘脑梗塞、脑萎缩.同年9月18日呕吐头晕,查体:BP27/13kPa,心电图示下壁、正后壁心梗,前壁心内膜下心梗,给心电监测及扩冠抗凝治疗。次日发现右侧周围型面瘫,右眼外展,内收不能。上下视不完全,左眼内收不能,外展水平眼震,上下视完全。四肢肌力肌张力正常,病理征(一)。脑CT示双壳核—内囊区多发腔隙性梗塞。诊断为多发性脑梗塞,一个半综合征。用维脑路通、低分子右旋糖酐、复方丹参配合理疗针灸,右面瘫减轻,右眼能闭合,不流涎。右眼内收外展仍不完全,病情好转,于1991年2月8日出院。
Male, 84 years old, sluggish sleep A month in June 26, 1990 treatment, brain CT showed left thalamus, brain atrophy vomit dizziness September 18 the same year, examination: BP27 / 13kPa, ECG showed the inferior wall, Positive posterior wall myocardial infarction, anterior wall subendocardial myocardial infarction, ECG monitoring and crown expansion anticoagulant therapy. The next day found the right paralyzed facial paralysis, right eye abduction, adduction can not. Up and down as incomplete, left adduction can not, outreach nystagmus, up and down as completely. Limb muscle strength normal muscle tension, pathology (a). Brain CT showed double-shelled nuclear - internal capsule multiple lacunar infarction. Diagnosis of multiple cerebral infarction, a half-syndrome. With Venoruton, low molecular weight dextran, compound Salvia with physical therapy acupuncture, right paralysis to reduce the right eye can be closed, no salivation. Abduction of the right eye is still incomplete, improved condition, was discharged on February 8, 1991.