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患儿,男性,14岁,无任何诱因突然出现头痛,恶心,呕吐,呕吐物为胃内容物,为非喷射性呕吐,即到我院门诊就诊,5分钟后头痛明显加剧,呕吐频繁,很快呈昏迷状态,咳吐粉红色泡沫痰,体检BP10.64/17.98kPa,心率150次/分,双肺可闻粗大水泡音。神经系统未检,经抢救无效死亡。患者既往体健。 尸检结果:1.先天性脑血管畸形,右大脑蔓状血管瘤破裂出血,血肿形成(12.5×4.5×2cm)。血流入脑室及蛛网膜下腔,右海马回疝及右小脑扁桃体疝;2.急性肺水肿; 3.胸腺增生,胰腺自溶。 动脉瘤破裂致蛛网膜下腔出血,主要以青壮年为多见,近年来由于临床检查手段提高,
Children, men, 14 years old, without any incentive Suddenly headache, nausea, vomiting, vomit for the stomach contents for non-jet vomiting, that is, to our hospital clinic, headache increased significantly after 5 minutes, frequent vomiting, very Was almost comatose state, cough spit pink foam sputum, physical examination BP10.64 / 17.98kPa, heart rate 150 beats / min, the lungs can smell large blisters sound. Nervous system is not seized, died after rescue invalid. Past patient’s health. Autopsy results: 1. Congenital cerebrovascular malformations, hemorrhage of the right cerebral hemangiomas rupture, hematoma formation (12.5 × 4.5 × 2cm). Blood flow into the ventricles and subarachnoid space, the right hippocampal hernia and right cerebellar tonsillar hernia; 2. Acute pulmonary edema; 3. Thymic hyperplasia, pancreatic autolysis. Aneurysm rupture caused by subarachnoid hemorrhage, mainly young and middle-aged are more common in recent years due to improved clinical examination,