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女性患者,49岁。因晨起活动后突然头痛、头晕、呕吐、言语不清及左侧肢体活动不灵,继之昏迷、二便潴留24小时而入院。患者罹患高血压病6年。查体:体温36℃,血压230/130。深昏迷,鼾声呼吸。颈硬。双肺底闻及湿罗音。心率60次,律整,无器质性杂音。双瞳孔小,对称且等大等圆,光反射消失,眼球向左凝视,右面部呈中枢性瘫痪。病理反射左侧(+)。眼底:呈高血压动脉硬化性Ⅳ级。化验:血白细胞22,800,中性80%,淋巴19%。尿常规正常。肝功正常。临床检查符合高血压性桥
Female patient, 49 years old. Due to a sudden headache after the morning activity, dizziness, vomiting, unclear speech and left limb movement is not working, followed by coma, two will stay for 24 hours and admitted. Patients suffering from hypertension for 6 years. Physical examination: body temperature 36 ℃, blood pressure 230/130. Deep coma, snoring breathing. Hard neck. Blow at the end of the smell and wet rales. Heart rate 60 times, law, no organic noise. Double pupil small, symmetrical and so large round, light reflection disappears, staring left eye, the right side of the central paralysis. Pathological reflex left (+). Fundus: Arteriosclerosis was grade IV hypertension. Assay: 22,800 white blood cells, 80% neutral, 19% lymphatic. Urine routine normal. Normal liver function. Clinical examination complies with hypertensive bridge