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病例 1,男,57岁,因右侧肢体麻木无力1天于1997年5月3日入急诊内科。查左侧肢体肌力Ⅱ级,巴氏征阳性。血压120/75mmHg。颅脑CT示右侧基底节区脑梗死。急查纤维蛋白原为4600mg/L,出凝血时间及血小板正常,眼底检查无出血,双侧视力1.5。无糖尿病和高血压病史,近半年内无手术和外伤史,无服用阿斯匹林药物史。给予生理盐水150ml,东菱克栓酶10BU静滴;第3天再给予生理盐水150ml,克栓酶5BU。患者于第5天出现双侧视力减退,视物模糊。急查眼底未见出血、渗出和动静脉迂曲
Case 1, male, 57 years old, due to weakness of the right limb numbness 1 day in May 3, 1997 into the emergency department of internal medicine. Check the left limb muscle strength Ⅱ grade, Pakistan sign positive. Blood pressure 120 / 75mmHg. Cerebral CT showed right basal ganglia infarction. Urgent check fibrinogen 4600mg / L, a clotting time and normal platelets, fundus examination without bleeding, bilateral visual acuity 1.5. No history of diabetes and hypertension, history of surgery and trauma in the past six months, no history of aspirin use. Given 150ml of saline, Bromhodollse 10BU intravenous infusion; on the 3rd day and then given saline 150ml, Ke bolt enzyme 5BU. Patients on the 5th day bilateral visual loss, blurred vision. No eye examination urgent bleeding, exudation and arteriovenous tortuosity