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一、中风陈某,男,67岁。1981年4月19日入院,住院号:8104970。患者从1975年起血压偏高(150～198/100～110毫米汞柱),时有头昏。1981年4月13日劳累后汗出当风,当晚发热头痛,微咳,呕吐,左侧肢体麻木,渐致神识昏蒙,时有谵语,视物模糊,4月18日起昏愦不语,肌肤灼热,呃逆,肢厥,二便失禁,口气臭秽,面红目赤,唇舌干红,舌苔黄腻,脉数。体温38.3℃,心率94次/分,血压198/110毫米汞柱,双侧瞳孔对称,大小正常,对光反射存在,颈项强直,心肺听诊未见异常,肝脾未触及,膝腱反射减弱,腹壁、提睾反射消失,布氏征、克氏征、巴氏征均阳性,左侧肌张力稍增强。
First, stroke Chen, male, 67 years old. Admitted to hospital on April 19, 1981, hospital number: 8104970. The patient had high blood pressure (150-198/100-110 mm Hg) from 1975 and was dizzy. On April 13, 1981, I sweated when I was tired. I had a fever, a slight cough, and vomiting. I felt numbness on the left side of the body. I gradually became dizzy with mysticism. There were slang phrases and blurred vision. I fainted from April 18. Language, skin burning, hiccups, paralysis, incontinence, bad breath, red face, red tongue, yellow tongue, greasy tongue, pulse number. Body temperature 38.3°C, heart rate 94 beats/min, blood pressure 198/110 mmHg, bilateral pupillary symmetry, normal size, presence of light reflex, neck rigidity, no abnormalities in heart and lung auscultation, untouched liver and spleen, reduced knee tendon reflexes, Abdominal wall and cremasteric reflexes disappeared. Brucellosis, Klinefelter, and Pakistani signs were all positive, and left muscle tension was slightly increased.