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患者男。60岁。因突发性头痛5小时于1995年9月12日上午10点入院。CT提示:蛛网膜下腔出血。入院后因头痛较剧,立即静滴甘露醇,同时用止血剂,口服尼莫地平等治疗,病情稳定。患者于入院第3天上午9:40（入院近48小时）输完 20 ％甘露醇后,出现神志不清,小便失禁,四肢痉挛。查体:血压14/10kPa,体温36℃（腋下）,两则瞳孔等大等圆,约1.5mm,对光反射迟钝,心肺听诊无殊,双侧巴氏征阳性,四肢肌张力增高,即用地塞米松10mg静推,用药3小时后神志转清,尚能对答,精神极软弱,神情淡漠,查两侧瞳孔约 2.5mm,对光反射存在,四肢肌
Patient male. 60 years old. 5 hours due to sudden headache on September 12, 1995 at 10 am admitted to hospital. CT tip: Subarachnoid hemorrhage. Because of headache after admission more drama, immediately intravenous mannitol, while using hemostatic, oral nimodipine treatment, stable condition. Patients admitted to hospital on the 3rd day morning 9:40 (nearly 48 hours admission) after the infusion of 20% mannitol, appeared unconscious, urinary incontinence, limb spasm. Examination: blood pressure 14 / 10kPa, body temperature 36 ℃ (armpit), the two pupils and other large round, about 1.5mm, slow light reflex, cardiopulmonary auscultation without special positive bilateral Bartholin sign, limb muscle tension increased, That is, with dexamethasone 10mg static push, medication 3 hours after consciousness clear, still able to answer, very weak spirit, look indifferent, check both sides of the pupil about 2.5mm, the presence of light reflex, limb muscle