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近年来,我院共收治脑出血引起的纯感觉性卒中2例,疗效满意,现报告如下。 1.病例介绍 例1,女,57岁,因右侧肢体麻木2小时于1994年2月14日入院。入院前4小时洗衣服时突然右下肢麻木,随即累及右上肢及同侧头面部。当时无头痛及呕吐,无其它不适。既往有高血压病史。检查:血压20/12kPa,意识清醒,无语言障碍,颈无抵抗,四肢肌力正常,腱反射亢进。右侧肢体浅感觉明显减退,深感觉正常,病理反射未引出。入院次日CT扫描示:左丘脑背侧后方区域有一个12mm×10mm类圆形高密度影,诊断为左侧丘脑出血。心电图示:窦性心律,左心室高电压,ST-T改变,甘油三脂1.05mmol/L,胆固醇4.4mmol/L,血糖4.9mmol/L。入院后经小剂量甘露醇治疗,维脑路通液20ml/d静滴,7天以后症状明显好转,住院11天右半身浅感觉恢复出院。
In recent years, our hospital received a total of pure sensory stroke caused by cerebral hemorrhage in 2 cases, the results are satisfactory, are as follows. Case description 1, female, 57 years old, due to the right limb numbness 2 hours in February 14, 1994 admission. Washing 4 hours before admission when suddenly washing the right lower limb numbness, immediately involving the right upper extremity and ipsilateral head and face. At that time, no headache and vomiting, no other discomfort. Past history of hypertension. Check: blood pressure 20 / 12kPa, conscious, no speech impairment, cervical non-resistance, normal muscle strength of the limbs, tendon hyperreflexia. Right limb weakness was significantly reduced, deep feeling normal, pathological reflex did not lead. On the second day after admission, CT scan showed that there was a 12mm × 10mm circular hyperdense shadow in the posterior dorsal region of the left thalamus, which was diagnosed as left thalamic hemorrhage. ECG shows: sinus rhythm, left ventricular high voltage, ST-T changes, triglycerides 1.05mmol / L, cholesterol 4.4mmol / L, glucose 4.9mmol / L. After admission by a small dose of mannitol treatment, Venoruton 20ml / d intravenous infusion, 7 days after the symptoms were significantly improved, 11 days in the hospital right lower body feeling recovered and discharged.