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患者 女,42岁,农民。于1996年8月1日入院。患者近1个月来出现3次全身强直—阵挛性发作,每次持续3～4分钟即止,伴有少语少动,记忆力减退,发呆,不识家人,时哭时笑,时而恐惧,生活不能自理。既往身体健康。查体:体温37.6℃,脉搏80次/分,呼吸18次/分,血压18/10kPa(135/75mmHg),意识清,言语流利,表情呆滞,反应迟钝,无异常行为。缺乏主动性,无主动接触,被动接触尚可。情感淡漠,不知饥饱。对时间、地点、人物定向障碍,未发现幻觉及妄想。近期遗忘(早餐食物和几个小时前被告知的大夫姓名均记不清),即刻记忆好,远
Female patient, 42 years old, farmer. Admitted to hospital on August 1, 1996. Patients in the past 1 months to appear 3 times tonic - clonic seizures, each lasting 3 to 4 minutes, accompanied by less active, memory loss, trance, do not know the family, crying when laughing, sometimes fear , Life can not take care of themselves. In the past, good health. Examination: body temperature 37.6 ℃, pulse 80 beats / min, breathing 18 beats / min, blood pressure 18 / 10kPa (135 / 75mmHg), clear consciousness, fluent speech, dull expression, unresponsive, no abnormal behavior. Lack of initiative, no active contact, passive contact is acceptable. Indifference, I do not know hunger. On the time, place, character orientation disorder, did not find the illusion and paranoia. Recently forgotten (breakfast food and doctors were told a few hours before the name can not remember), immediate memory, far away