陈某,女,50岁,工人。患者4年前无明显原因经常出现牙龈出血,皮肤淤斑,经骨髓检查诊为“原发性血小板减少性紫癜并缺铁性贫血”。后经强的松10mg隔日口服治疗,病情稳定。1988年2月16日晨起时,患者出现右侧肢体活动不灵伴言语障碍。3天后行CT扫描检查示:左侧额、颞、顶部—基底节区脑梗塞,双侧苍白球钙化。检查:血压17.3/13.3kPa、神志清。运动性失语,右侧鼻唇沟变浅,伸舌偏右。 Chen, female, 50 years old, worker. 4 years ago, patients with no obvious causes of bleeding gums often, skin ecchymosis, diagnosed as bone marrow by the “primary thrombocytopenic purpura and iron deficiency anemia.” After oral prednisone 10mg every other day, stable condition. On the morning of February 16, 1988, the patient showed a malfunctioning speech on the right limb with speech impairment. Three days later, CT scan examination showed: the left forehead, temporal, top - basal ganglia infarction, bilateral pale ball calcification. Check: blood pressure 17.3 / 13.3kPa, clear mind. Exercise aphasia, the right nasolabial fold shallow, stretch tongue right.