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患者男,64岁,因1周前无明显诱因出现发作性头晕,于2002年9月10日来我院就诊。患者头晕多于站立时发作,持续约几秒钟,伴恶心,无呕吐,无视物旋转、耳鸣、头痛等症状,血压正常。头晕发作过后,感左侧肢体无力,活动不灵便。既往有冠心病、心绞痛、糖尿病病史。入院查体:T 36.7℃,P 82次·min~(-1),R 16次·min~(-1),BP 130/70mmHg。颈软,双肺听诊未闻及干湿啰音,HR 82次·min~(-1),律齐,各瓣膜听诊区未闻及病理性杂音,腹软,腹部无压痛、反跳痛,肝脾肋下未及,肠鸣音正常,双下肢无水肿、四肢肌力、肌张力正常,巴氏征阴性。诊断为一过性脑供血不足。给予5％葡萄糖注射液250ml+银杏叶提取物(金纳多)87.5mg静滴,同时口
Patient male, 64 years old, had episodes of dizziness due to no apparent predisposition 1 week ago and came to our hospital on September 10, 2002. Patients with dizziness more than standing attack, lasted for about a few seconds, with nausea, no vomiting, ignoring the object rotation, tinnitus, headache and other symptoms, normal blood pressure. After dizziness attack, the left limb weakness, activity is not flexible. Past history of coronary heart disease, angina, diabetes history. Admission examination: T 36.7 ℃, P 82 times · min -1, R 16 times · min -1, BP 130/70 mmHg. Neck soft, lung auscultation and dry and wet rales, HR 82 times min ~ (1), law Qi, the valve auscultation area has not heard of pathological murmur, abdominal soft, abdominal tenderness, rebound tenderness, Liver and spleen ribs, bowel sounds normal, no lower extremity edema, limb muscle strength, muscle tone normal, Pakistan sign negative. Diagnosis of transient brain blood supply is insufficient. Give 5% glucose injection 250ml + Ginkgo biloba extract (Ginaton) 87.5mg intravenous infusion, at the same time