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1临床资料患者,男74岁,因“言语不能、右侧肢体活动不能2 d”于2012年12月26日入院。高血压病、2型糖尿病、冠心病多年,平时最高血压180/100 mmHg,口服降压药物厄贝沙坦及血小板聚集抑制剂氯吡格雷治疗,不服降糖药物、注射胰岛素治疗。不监测血糖、血压。否认药物、食物过敏史,无吸烟、饮酒嗜好,无传染病史,无家族性、遗传性疾病病史。患者入院后行头颅MRI检查显示,左侧颞顶叶新鲜脑梗死伴
1 Clinical data Patients, male 74 years old, because “speech can not, the right limb activity can not 2 d ” on December 26, 2012 admission. Hypertension, type 2 diabetes, coronary heart disease for many years, usually the highest blood pressure 180/100 mmHg, oral antihypertensive drugs irbesartan and platelet aggregation inhibitor clopidogrel treatment, not to hypoglycemic drugs, insulin injections. Do not monitor blood sugar, blood pressure. Denied drugs, history of food allergy, no smoking, drinking habits, no history of infectious diseases, no family history of hereditary diseases. Patients admitted to hospital after head MRI examination showed that the left temporal parietal lobe with fresh cerebral infarction