缺血性脑血管病思考题 —— 邓镇
思考题1:在日常生活中,如何快速识别脑血管病?如果发生在你身边,你将如何处理?
思考题2:女,68岁。突发右侧肢体无力伴言语不流利4小时入院。既往有高血压病史8年,糖尿病病史2年,心房纤颤半年,规律降压、控制血糖和服用阿司匹林。入院查体:血压180/100mmhg,神志清,失语,右侧中枢性面舌瘫,右侧肢体肌力iii级,右侧感觉较对侧差。右侧巴氏征( )。颈软。脑膜刺激征(-)。急查头颅ct:未见异常。
问题:定位诊断(损害的部位)?为什么?定性诊断:(什么病)?下一步该如何处理?
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