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患者女,70岁,1988年8月17号,因言语不清,进行性吞咽困难3天收入院。原有高血压病史6年,1985年曾患“中风”一次,遗有右侧肢体轻瘫.检查:T36.5℃,P74次/分,BP20/12kpa,神志清楚,言语单调,吐词含糊不清;远,近记忆均差,面部表情呆滞,双侧眼睑中度下垂,但排尿时双眼睑上抬及眼球活动正常,提示核上性病变;双侧眼球上视、下视受限、双眼球轻度水平性向左注视麻痹,瞳孔正常,水平性及垂直性头眼反射存在。双侧软腭抬举活动欠佳.构音不良,饮水少许呛
Female patient, age 70, August 17, 1988, was admitted to hospital for 3 days due to a vague speech. The original history of hypertension for 6 years, had suffered a “stroke” once in 1985, left with paralysis of the right limb. Check: T36.5 ℃, P74 / min, BP20 / 12kpa, conscious, monotonous, vague vague Unclear; near and far memories are poor, dull facial expressions, bilateral eyelid moderate droop, but when urinating both eyelid uplift and eye activity is normal, suggesting that the nuclear on the lesion; bilateral upper and lower eyeball as limited, Eyes mild horizontal left paralysis, pupil normal, horizontal and vertical head reflection exists. Bilateral palatal lifting activity is poor. Poor acupuncture, drinking a little choking