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患男,57岁,因左上肢活动受限3d,于1993年9月11日入院。既往一年半前患“脑梗塞”。同年发现血压高。查体:体温36.5℃,脉搏76次/min,血压20/14kPa。神清,语利,瞳孔等大正圆,对光反射灵敏。左侧鼻唇沟变浅,口角右歪,伸舌无明显偏移。颈软。心、肺无异常。腹平软无压病。肝、脾未触及。肠鸣音正常。左上肢肌力Ⅳ级感觉减退。余肢体肌力均为V级。生理反射存在。病理反射未引出。头颅CT示:右侧顶深部脑
Male, 57 years old, restricted by left upper extremity activity for 3d, was admitted on September 11, 1993. A year and a half before suffering from “cerebral infarction.” The same year found high blood pressure. Physical examination: body temperature 36.5 ℃, pulse 76 beats / min, blood pressure 20 / 14kPa. God, language proficiency, pupil Dazhengyuan, sensitive to light reflection. Left nasolabial fissure shallow, right crooked mouth, tongue extension no significant deviation. Neck soft. Heart, lungs without exception. Abdominal soft pressure-free disease. Liver, spleen not touched. Bowel sounds normal. Left upper limb muscle strength Ⅳ feeling decreased. I limb strength are V-class. Physiological reflex exists. Pathological reflex did not lead. CT showed the head: the right side of the deep brain