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患者男,65岁,右侧肢体活动不灵伴失语1天入院。查体:神清,运动性失语,伸舌右偏,右侧中枢性面瘫,右侧肢体瘫痪,肌力0级,右巴氏征(+)。腰穿压力220mmH_2O。入院第6～8天血压增高,波动在28～32/16～20kPa,随之出现急性肾功能衰竭,尿量为100～200ml/24h,尿素氮31.0mmol/L,肌酐410mmol/L。高钾血症,血钾7～9.5mmol/L。心电图示T波高尖。出现嗜睡,重则鼾声呼吸,呼
Male patient, 65 years old, right limb physical activity with aphasia 1 day admission. Examination: Shenqing, exercise aphasia, extensor tongue right deviation, the right side of the central paralysis, paralysis of the right limb, muscle strength 0, right Pakistan’s sign (+). Waist wear pressure 220mmH_2O. On the sixth to eighth day of admission, the blood pressure increased and fluctuated at 28-32 / 16-20kPa, followed by acute renal failure, urine output was 100-200ml / 24h, urea nitrogen 31.0mmol / L and creatinine 410mmol / L. Hyperkalemia, serum potassium 7 ~ 9.5mmol / L. ECG T waves pointed tip. Appear drowsiness, heavy snore breathing, call