延髓Y形梗死合并脑桥心形梗死一例
发布时间：2018-11-25 19:19
【摘要】：正患者男,64岁,因"头晕、走路不稳2 d,加重伴意识障碍4 h"于2017年1月3日收入吉林大学第一医院神经内科。入院前2 d,患者活动后出现头晕、走路不稳,经休息并服用降压药(具体不详)后症状好转,肢体活动正常。入院前1 d,患者无明显诱因出现言语及肢体活动不利,就诊于当地医院,头部CT示左侧多发腔隙性脑梗死,经"脑肽通"、"奥扎格雷"治疗后病情仍渐进展。入院前4 h,患者出现意识障碍且程度逐渐加重,为进一步诊治就诊于吉林大学第一医院神经内科。既往高血压病史20年,血压最高达220/100 mm Hg,未规律服用降压药(具体不详);吸烟史40余年,20支/d;饮
[Abstract]:The male, aged 64, was admitted to the Department of Neurology, first Hospital of Jilin University on January 3, 2017, due to "dizziness, unstable walking for 2 days and aggravation for 4 hours with disturbance of consciousness". Two days before admission, the patient developed dizziness and walked unsteadily after exercise. After resting and taking antihypertensive drugs (specific details unknown), the symptoms improved and the limb movement was normal. On the first day of admission, the patient had no obvious inducement to appear unfavorable speech and limb activities, and was admitted to the local hospital. The head CT showed multiple lacunar cerebral infarction on the left. After treatment with "brain Peptide" and "Ozagrel", the patient's condition continued to progress. Four hours before admission, the patients appeared consciousness disorders and gradually aggravated, for further diagnosis and treatment in the Department of Neurology, first Hospital of Jilin University. 20 years of history of hypertension, blood pressure up to 220% 100 mm Hg, irregular use of antihypertensive drugs (not specific), smoking history of more than 40 years, 20 / d;
【作者单位】： 吉林大学第一医院神经内科;
【分类号】：R743.33
，
本文编号：2357140
[Abstract]:The male, aged 64, was admitted to the Department of Neurology, first Hospital of Jilin University on January 3, 2017, due to "dizziness, unstable walking for 2 days and aggravation for 4 hours with disturbance of consciousness". Two days before admission, the patient developed dizziness and walked unsteadily after exercise. After resting and taking antihypertensive drugs (specific details unknown), the symptoms improved and the limb movement was normal. On the first day of admission, the patient had no obvious inducement to appear unfavorable speech and limb activities, and was admitted to the local hospital. The head CT showed multiple lacunar cerebral infarction on the left. After treatment with "brain Peptide" and "Ozagrel", the patient's condition continued to progress. Four hours before admission, the patients appeared consciousness disorders and gradually aggravated, for further diagnosis and treatment in the Department of Neurology, first Hospital of Jilin University. 20 years of history of hypertension, blood pressure up to 220% 100 mm Hg, irregular use of antihypertensive drugs (not specific), smoking history of more than 40 years, 20 / d;
【作者单位】： 吉林大学第一医院神经内科;
【分类号】：R743.33
，
本文编号：2357140
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