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患者女,34岁,右利手,初中,车工。因突发性头痛、呕吐10小时入院。起病当天因疲劳傍晚感到头痛,随后出现呕吐数次。几个小时后头痛以枕部为重,颈部发僵。既往健康无偏瘫史。查体:血压18.7/13.3KPa,神清,语利,计算不能,定向力正常。双侧腱反射对称性活跃,双侧Chaddock氏征(+),Brudzinski氏征(+)。腰穿CSF血性,压力1.65KPa,潘氏反应(+),细胞总数25000×10~6/L,WBC318×10~6/L,蛋白1g/L,余项正常。头颅CT示三、四脑室、双侧脑室体部及后角有密度增高影充
Female patient, 34 years old, right hand, junior high school, turner. Due to sudden headache, vomiting 10 hours admitted. On the day of onset, I felt a headache in the evening due to fatigue, followed by vomiting several times. A few hours later the headache was taken with a pillow and the neck was stiff. Past history of non-hemiplegia health. Physical examination: blood pressure 18.7 / 13.3KPa, God clear, language proficiency, calculation can not be normal orientation. Bilateral tendon reflex symmetry is active, bilateral Chaddock’s sign (+), Brudzinski’s sign (+). Lumbar puncture CSF bloody, pressure 1.65KPa, Pan’s reaction (+), the total number of cells 25000 × 10 ~ 6 / L, WBC318 × 10 ~ 6 / L, protein 1g / L, the rest of normal. Head CT showed three or four ventricle, bilateral ventricular body and posterior horn density increased filling