病历摘要张某某,男,37岁,因右侧肢体活动失灵3小时,于1988年3月1日入院。入院前1天,突然感到胸骨后剧痛,呈撕裂样,阵发性加剧。次日,疼痛渐延及颈两侧、剑突下及下腹部。中午服止痛片后休息,2小时醒来发现言语不清,右侧肢体活动失灵。门诊按脑梗塞入院。神经系统查体:T 36.6℃,P 48次/分,R18次/分,Bp16/10.7KPa。中 Medical record Zhang Moumou, male, 37 years old, due to the right limb movement failure 3 hours, on March 1, 1988 admission. One day before admission, suddenly felt the sternum pain, was tearing, paroxysmal increase. The next day, pain gradually extended and both sides of the neck, xiphoid and lower abdomen. After taking a noon painkiller film rest, 2 hours woke up to find the words unclear, the right limb activity failure. Outpatient admission by cerebral infarction. Nervous system examination: T 36.6 ℃, P 48 beats / min, R18 beats / min, Bp16 / 10.7KPa. in