论文部分内容阅读
患者,男,49岁,工人,1992年8月17日无诱因突感左上肢发凉、麻木、曾按“脉管炎”治疗,有所好转。9月2日家属发现病人不语、拒食、不认家人、走路不稳,伴右侧肢体运动不灵而入院。查体:体温37.5℃,血压:左上肢12.0/8.9kPa、右上肢16.0/10.7kPa,双侧肱桡动脉博动明显减弱,双侧足背动脉博动消失。心肺检查未见异常。表情呆滞,感觉性失语,叫骂、违拗、查体不合作,右侧鼻唇沟变浅,右侧肌力Ⅲ～Ⅳ级,未引出病理反射。血白细胞查三次,分别为14.7×10~9/L、17.1×10~9/L、15.0×10~9/L,血沉查三次:分别为第一小时10mm、41mm、50mm、,肝功、血糖、血三脂、尿素氮均正常,心脏彩
Patient, male, 49 years old, worker, no reason on August 17, 1992 Suddenly left upper extremity cold, numbness, had “vasculitis” treatment, has improved. September 2 family members found that patients do not speak, refuse to eat, do not recognize the family, walking unstable, with the right limb movement is not working and admitted to hospital. Physical examination: body temperature 37.5 ℃, blood pressure: left upper limb 12.0 / 8.9kPa, right upper extremity 16.0 / 10.7kPa, bilateral brachialis radial artery motility was significantly weakened, bilateral dorsalis pedis artery motility disappeared. Cardiopulmonary examination showed no abnormalities. Facial expression is sluggish, sensory aphasia, curse, disobedient, physical examination is not cooperation, the right nasolabial fold shallow, right muscular strength Ⅲ ~ Ⅳ level, did not lead to pathological reflex. Blood leukocytes were examined three times, respectively, 14.7 × 10 ~ 9 / L, 17.1 × 10 ~ 9 / L, 15.0 × 10 ~ 9 / L, ESR three times: the first hour 10mm, 41mm, Blood sugar, blood triglyceride, urea nitrogen are normal, heart color