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患者,男,26岁,因左颈部火器伤后右偏瘫伴运动性失语1月于1995年3月入院。1月前被人用铁砂枪击中左颈部,无昏迷,在当地卫生院清创缝合,即出现右偏瘫及运动性失语,转往上级医院。CT 检查见左大脑中动脉供血区大片脑梗塞,经颅多普勒示颈内动脉海绵窦段阻塞,前交通动脉开放,眼动脉有逆向血流。住院给予溶栓、扩血管治疗1月无效而转来我院。入院查体:神志清,完全性运动性失语,左侧中枢性面
The patient, male, 26 years old, was admitted to hospital in March 1995 for right-hemiplegia with motor aphasia following a left-neck firearm injury. 1 month ago was shot with iron sand gun left neck, no coma, de novo sutures in the local hospitals, that is, right hemiplegia and aphasia, transferred to the higher hospital. CT examination showed a large cerebral infarction in the middle cerebral artery supplying area of the left middle cerebral artery. Transcranial Doppler showed occlusion of the cavernous sinus segment of the internal carotid artery. The anterior communicating artery was opened and the ophthalmic artery had reverse blood flow. Inpatient thrombolysis, vasodilator treatment invalid January and transferred to our hospital. Admission examination: conscious, complete aphasia, the left central plane