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一个半综合征临床并不多见,今将青岛医学院和包钢各2例综合报道如下: 例1.男,60岁。2天前饮酒后突然头痛,呕吐数次,右肢麻木活动不灵活,于90年5月23日入院。有高血压病史4年。检查:Bp24/16kPa,神清语畅。瞳孔左为2mm,右为3mm,光反应存在,眼底示动脉硬化。左眼处中间位,外展内收皆不能。右眼不能内收,外展正常且出现水平眼震。双眼上下及聚合运动正常,左侧周围性面瘫,伸舌向左歪。右半身痛觉减退,右上下肢肌力2级。颅脑CT示脑桥左侧有12.9×12.9×30mm血肿,双侧脑室有少量积血。住院治疗3个月,右肢肌力明显恢复,但左眼水平运动无明显好转。例2.男,68岁。4天前晨起床时出现眩晕、恶心、呕吐数次,视物成双,左肢无力,于90年10月12日入院。患高血压病10年。查体:Bp21/12kPa,神清语明。
One and a half syndrome clinics are rare, and now the Qingdao Medical College and Baotou 2 cases were reported as follows: Example 1. Male, 60 years old. 2 days ago after drinking a sudden headache, vomiting several times, numbness of the right limb activity is not flexible, on May 23, 1990 admitted. Have a history of hypertension for 4 years. Check: Bp24 / 16kPa, God Qing language Chang. Pupil left to 2mm, right to 3mm, light reaction exists, the fundus shows atherosclerosis. Median left eye, abduction adduction are not. The right eye can not be adducted, normal abduction and horizontal nystagmus. Up and down his eyes and polymerization normal movement, the left peripheral facial paralysis, crooked tongue left. Right lower body pain relief, right upper extremity muscle strength 2. Brain CT showed patellar left 12.9 × 12.9 × 30mm hematoma, a small amount of bilateral ventricular hemorrhage. Hospitalized for 3 months, right limb muscle strength was significantly recovered, but no significant improvement in the left eye horizontal motion. Example 2. Male, 68 years old. Dizziness, nausea and vomiting appeared on the morning of 4 days when she got up. She was hospitalized on October 12, 1990, depending on the material in pairs and her left limbs were weak. Hypertension 10 years. Physical examination: Bp21 / 12kPa, clear language.