颈内动脉夹层后视力下降1例
Chinese Journal of Stroke(2018)
Abstract
1 病例介绍
患者男性,51岁,主因"左侧头部疼痛、左眼视物不清6天"于2015年10月15日入院.患者于6天前与人争执时突然出现左侧头部疼痛及左眼视力下降.自诉头痛从左侧面颊下部逐渐上移至左侧头顶,后固定在左眼球,持续性钝痛,无恶心、呕吐,无肢体活动不灵活,无言语不清、饮水呛咳、吞咽困难,无胸闷、心慌、气短等症,未及时就诊.次日晨起感头痛无明显缓解,于外院就诊,测血压150/100 mmHg,行头颅计算机断层扫描(computed tomography,CT)提示"多发腔隙性梗死灶",给予"硝苯地平缓释片、盐酸氟桂利嗪胶囊"口服.因症状无明显改善,遂于1天前来我院就诊,门诊以"头痛待查,高血压病"之诊断收住院.
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