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硬膜下脓肿误诊为脑梗死1例临床分析

发布时间:2018-10-15 11:13
【摘要】:正1病例资料患者,男,46岁,因嗜睡1 d,言语不清伴右侧肢体活动不灵5 h入院。患者因嗜睡到当地医院就诊,无言语障碍及肢体活动障碍,行头部CT及血化验检查后诊断为"脑梗死、糖尿病",给予胰岛素降糖治疗。次日晨起后发现言语不清及右侧肢体活动不灵而转至我院治疗。病程中无发热,无恶心、呕吐,无抽搐。入院时查体:体温:37.0℃,血压:112/78mmHg。听诊双肺呼吸音粗。意识清楚,不完全性混合性失语,右侧肢体肌力3级,双侧腱反射对称存在,双侧病理征阴
[Abstract]:Case 1, male, 46 years old, was admitted to hospital for 5 hours because of drowsiness for 1 day, inarticulate speech and right limb inactivity. The patient was diagnosed as "cerebral infarction, diabetes" after head CT and blood test without speech disorder and limb movement disorder due to drowsiness, and was given insulin hypoglycemic therapy. The following morning, we found indistinct speech and inactivity of the right limb and transferred to our hospital for treatment. No fever, no nausea, no vomiting, no convulsions in the course of the disease. Body temperature: 37.0 鈩,

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