病例摘要例1:患者女性,63岁。因右侧肢体无力4天入院。查体:脉搏70次,血压140/90,神志清,心、肺、腹部无特殊异常。神经系统:右鼻唇沟浅,右侧上下肢肌力Ⅲ°,半身痛觉减退,右巴彬斯基氏征阳性。实验室检查:血生化正常。脑电图示;轻度异常。颅脑CT示轻度皮层萎缩性改变。诊断为脑梗塞。入院后给予地巴唑、复合维生素B治疗。第2 Case Summary Example 1: Female patient, 63 years old. Due to the right limb weakness 4 days admission. Physical examination: pulse 70 times, blood pressure 140/90, clear mind, heart, lung, abdomen no special abnormalities. Nervous system: right nasolabial fold shallow right upper limb muscle strength Ⅲ °, half-body pain decreased, right Babinski’s sign positive. Laboratory tests: blood biochemistry normal. EEG; mild abnormalities. Brain CT showed mild cortical atrophy. Diagnosis of cerebral infarction. After admission to give methimazole, vitamin B treatment. 2nd