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病历摘要 张×× 女,40岁,教师,住院号:105298。因精神异常1个月,右侧肢体渐进性偏瘫,失语5天,发热,昏迷1天。于1971年9月8日入院。 患者自8月初开始月经持续半个月,伴有头晕、恶心、食欲减退,夜寐不安,沉默寡言。8月下旬出现说话不流利、淡漠,有时发呆不能工作。9月3日起不思进食、右上下肢力弱。症状日益加重,右上肢全瘫,右下肢稍能动,不会说话。曾以新针治疗无效。9月7日出现流涕、喷嚏、发热、昏迷即送我院急诊。
Medical record Zhang × × female, 40 years old, teacher, hospital number: 105298. 1 month due to mental disorders, progressive hemiplegia on the right limbs, aphasia for 5 days, fever, coma 1 day. Admitted to hospital on September 8, 1971. The patient has been menstruating for about half a month since early August, with dizziness, nausea, loss of appetite, night-sleep disturbances and dumbness. Appear in late August is not fluent, indifferent, sometimes in a daze can not work. Sept. 3 is not eating, right upper limb weak. Increasing symptoms, paralysis of the right upper limb, right lower limb can move, can not speak. Had a new needle treatment is invalid. September 7 runny nose, sneezing, fever, coma immediately sent to our hospital emergency room.