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脑出血为临床常见病,但同时发生一个血管两处出血比较少见,现将我院收治的一例报道如下: 患者,男,57岁,1994年12月21日入院。入院当日早9时病人外出,12时家人发现其倒在外面,意识不清、尿失禁、口周有少许白沫,立即送往我院,做头部CT检查,提示:桥脑、小脑出血并破入四脑室,以脑出血收入院。病人既往饮酒史三十年,每日3两左右,否认高血压等病史。入院时查体:BP12/8kpa、P56次/分、T36℃、R13次/分、深昏迷、呼吸浅慢,双侧瞳孔均缩小,针尖大小,对光反射消失,四肢瘫,肌张力低,腱反射消失,未引出病理反射,颈强(++)克氏征(-),双肺可闻及痰鸣音,心率56次/分,音纯、律
Intracerebral hemorrhage is a common clinical disease, but at the same time a blood vessel two bleeding is relatively rare, now a hospital reported in our hospital as follows: The patient, male, 57 years old, December 21, 1994 admission. On the day of admission, the patient went out as early as 9 o’clock on the day of admission. At 12 o’clock, they found that they were lying outside. Their consciousness was not clear, urinary incontinence and a little foam around the mouth were immediately taken to our hospital for head CT examination. Tip: pontine and cerebellar hemorrhage And break into the fourth ventricle, brain bleeding income hospital. Past history of the patient’s drinking thirty years, about three two days a day, denied hypertension and other medical history. Admission examination: BP12 / 8kpa, P56 beats / min, T36 ℃, R13 beats / min, deep coma, slow breathing, both pupils are reduced, the tip size, disappeared light reflex, quadriplegia, low muscle tension, Tendon reflex disappeared, did not lead to pathological reflex, neck strong (++) Kirschner sign (-), lungs can be heard and phlegm, heart rate 56 beats / min, pure sound, law