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患者女性,54岁。有高血压病史10年,平时血压维持在22/14kPa左右。1986年起出现多食、多饮、多尿等症状。诊断为糖尿病Ⅲ型,常服D_(860)等,血糖稳定在6～9mmol/L。1989年2月因右侧肢体麻木而行脑CT检查,诊断为左侧额叶脑梗塞,用复方丹参等治疗后症状改善。1993年3月因讲话欠流利并出现进行性语言障碍及右侧偏瘫,再作脑CT检查,提示左侧额叶、顶叶脑梗塞。1993年12月出现复视、视物不清、头痛、眩晕等,第3次作脑CT检查,提示右侧枕叶脑梗塞。给予脑活素、胞二磷胆碱等治疗后病情好转。1994年1月12日突然出现癫痫发作而再次入院。体检:体温37℃,脉搏84次/分,呼吸20次/分,血压22/13kPa,发育正常、心律齐,心率84次/分,无病理性杂音,双肺呼吸音清,腹软,肝脾肋下未触及;神志清,瞳孔等大,对光反射好,左侧偏盲,无面瘫,颈无抵抗,右上肢肌力
Patient female, 54 years old. Hypertensive history of 10 years, usually maintained at 22 / 14kPa blood pressure. Appeared since 1986, eat more, drink more, polyuria and other symptoms. Diagnosis of diabetes type Ⅲ, D_ (860), etc., blood glucose stable at 6 ~ 9mmol / L. February 1989 because of right limb numbness and brain CT examination, diagnosed as left frontal lobe cerebral infarction, with compound Salvia and other symptoms improved. In March 1993 due to speech unfamiliar with progressive language impairment and right hemiplegia, brain CT examination again, suggesting that the left frontal lobe, parietal lobe cerebral infarction. In December 1993, diplopia, blurred vision, headache, dizziness, etc., the third time for brain CT examination, suggesting that the right side of the occipital lobe cerebral infarction. Given cerebrolysin, citicoline and other conditions improved after treatment. January 12, 1994 sudden onset of seizures and re-admission. Physical examination: body temperature 37 ℃, pulse 84 beats / min, breathing 20 beats / min, blood pressure 22 / 13kPa, normal development, heart rate Qi, heart rate 84 beats / min, no pathological noise, lung breath sounds clear, Spleen ribs did not touch; clear mind, pupils and other large, good light reflex, left hemianopia, no facial paralysis, cervical non-resistance, right upper limb muscle strength