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男性 51岁病历号19567,因与人争吵突然左半身无力,言语困难于1983年12月29日入院。有高血压病已26年,曾达220/130毫米汞柱。入院时检查:意识模糊、不语,血压150/100毫米汞柱,体温39.7℃,呼吸浅快,瞳孔等大(3mm),对光反应尚可。眼底视乳头正常,A:V=1:3。双眼向左注视时右眼不能内收,左眼外展见水平眼震。双眼向右注视麻痹。可见垂直眼震,辐辏不能。左鼻唇沟浅,左上肢肌力0°,左下肢肌力2°,左Babinski征阳性。次日腰穿,压力100mmH_2O,脑脊液粉红,RBC11300/mm~3,WBC100/mm~3,蛋白65毫克％,余正
Male 51-year medical record number 19567, due to a sudden quarrel with the left half of weakness, speech difficulties in December 29, 1983 admission. Hypertension has been 26 years, had reached 220/130 mm Hg. Admission examination: confusion, no words, blood pressure 150/100 mm Hg, temperature 39.7 ℃, shallow breathing, pupils and other large (3mm), the light response is acceptable. The fundus of the optic nerve is normal, A: V = 1: 3. Right eye can not be adducted with left eye and right eye left. Eyes look right paralysis. Visible vertical nystagmus, convergence can not. Left nasolabial fold shallow, left upper limb muscle strength 0 °, left lower limb muscle strength 2 °, left Babinski sign positive. The next day lumbar puncture, pressure 100mmH2O, cerebrospinal fluid pink, RBC11300 / mm ~ 3, WBC100 / mm ~ 3, protein 65 mg%, Yu Zheng