【摘要】：正患者男,64歲,因"頭暈、走路不穩(wěn)2 d,加重伴意識障礙4 h"于2017年1月3日收入吉林大學第一醫(yī)院神經(jīng)內(nèi)科。入院前2 d,患者活動后出現(xiàn)頭暈、走路不穩(wěn),經(jīng)休息并服用降壓藥(具體不詳)后癥狀好轉,肢體活動正常。入院前1 d,患者無明顯誘因出現(xiàn)言語及肢體活動不利,就診于當?shù)蒯t(yī)院,頭部CT示左側多發(fā)腔隙性腦梗死,經(jīng)"腦肽通"、"奧扎格雷"治療后病情仍漸進展。入院前4 h,患者出現(xiàn)意識障礙且程度逐漸加重,為進一步診治就診于吉林大學第一醫(yī)院神經(jīng)內(nèi)科。既往高血壓病史20年,血壓最高達220/100 mm Hg,未規(guī)律服用降壓藥(具體不詳);吸煙史40余年,20支/d;飲
[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;
【作者單位】： 吉林大學第一醫(yī)院神經(jīng)內(nèi)科;
【分類號】：R743.33
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本文編號：2357140