心脑同源卒中报道较少,我院收治1例,现报告如下。患者女,68岁,意识不清,右侧肢体瘫痪6小时入院.查体:T36.5,P102,Bp13.3/9.3kPa。呼吸急促,呈嗜睡状态,问话不能回答,双侧瞳孔等大,对光反射迟钝,颈软,右侧鼻唇沟变浅。双肺底可闻及湿性罗音,心率102次/分,节律规整,A_2>P_2,心界向左下扩大。右上、下肢肌力零度,肌张力减低,右巴彬斯基氏征(+)、腰穿脑脊液为无色透明,细胞数及各 Heart-brain homologous stroke less reported in our hospital in 1 case, are as follows. Female patient, 68 years old, unconscious, right paralyzed 6 hours admitted to hospital Physical examination: T36.5, P102, Bp13.3 / 9.3kPa. Shortness of breath, drowsiness, questioning can not answer, bilateral pupils and other large, slow light reflex, neck soft, shallow nasolabial fold on the right. The end of the lungs can be heard and wet rales, heart rate 102 beats / min, rhythm, A_2> P_2, heart to the left under the expansion. Upper right and lower limb muscle strength zero, reduced muscle tone, right Babinski’s sign (+), lumbar puncture cerebrospinal fluid is colorless and transparent, the number of cells and each