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患者刘×,女,25岁,工人,未婚。因昏迷待查于1985年9月24日入院。入院当天上午10时40分,在骑自行车途中,忽感左侧肢体乏力,后枕部疼痛,当即停车呼救,随后就不省人事,呕吐、无抽搐和二便失禁。急诊处理至下午1时许方清醒.既往体健,否认有外伤史。T35.8℃,BP100/60mmHg神清,语言清楚,平卧位,心肺肝脾均未见异常.神经系统:双眼底视乳头边界清楚,A:V=1:2,视网膜无渗血,双瞳孔圆形等大、对光反射存在,眼球无震颤,两侧鼻唇沟对称,伸舌居中,四肢肌张力无异常,在左上、下肢各关节肌力均为Ⅲ度、右肢体肌力Ⅴy度,左膝反射(+),右膝反射(++),颈软,Kernig征阴性,锥体束征阴
Patient Liu ×, female, 25 years old, worker, unmarried. Due to coma pending investigation in September 24, 1985 admission. At 10:40 on the day of admission, while riding a bicycle, I suddenly felt the left limb weakness and pain in the occipital region. I immediately stopped calling for help and then became unconscious, vomiting, convulsions and incontinence. Emergency treatment until 1 o’clock in the afternoon wake up. Past physical health, denied a history of trauma. T35.8 ℃, BP100 / 60mmHg God clear, clear language, supine position, heart and lung liver and spleen were normal.Nervous system: the bottom of the binocular nipple clear boundary, A: V = 1: 2, no retinal bleeding, double Pupil circular and other large, the presence of light reflex, the eye without tremor, both sides of the nasolabial fold symmetry, extensor middle limb muscle tension without exception, in the upper left and right lower extremity joint strength are Ⅲ degrees, right limb muscle strength Ⅴ y Degrees, left knee reflex (+), right knee reflex (++), neck soft, Kernig sign negative, pyramidal tract sign