UID337847
阅读权限20
专业分
贡献分
爱医币
鲜花
注册时间2007-4-23
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[size=10.5000pt]病例讨论
[size=10.5000pt]病例特点:
[size=10.5000pt]1.中年女性,亚急性起病;
[size=10.5000pt]以头痛、恶心、呕吐1周,加重1天为主诉。头痛较剧烈,持续性胀痛伴阵发性加剧。因记忆缺失、定向异常、命名不能1天来诊。呕吐非喷射性,不含血。无抽搐及大小便失禁。无偏瘫。
[size=10.5000pt]2.既往无高血压病史;痛经多年,口服布洛芬可以缓解疼痛;有长期口服布洛芬史。
[size=10.5000pt]3.查体:欠合作。嗜睡、有时情绪激动,计算力、记忆力、定向力下降,命名性失语。颅神经大致正常,颈项不强,肢体感觉及运动可,双侧巴氏征阴性。
[size=10.5000pt]实验室检查异常值
[size=10.5000pt]血糖:6.60mmol/L(3.89-6.11)
[size=10.5000pt]超敏C-反应蛋白:4.10mg/L(0-3.00)
[size=10.5000pt]甘油三酯:1.24mmol/L(0.23-1.23)
[size=10.5000pt]载脂蛋白B:1.20g/L(0.42-1.12)
[size=10.5000pt]血凝、血细胞分析、肝肾功能、电解质大致正常。
[size=10.5000pt]影像学检查:
[size=10.5000pt]颈部、下肢、心脏彩超未见明显异常。
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[size=10.5000pt]对该病例诊断与治疗加以讨论。请各路高手不吝指正!
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