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患者,张某,男性,20岁,步兵某团战士。主困:头痛、呕吐、昏迷30分钟入院。平素身体健康,无头痛,眩晕病史。30分钟前饱餐并在与战友玩笑中突然出现头痛,继之喷射样呕吐数次,昏迷、送来我院。查体:深昏迷、自主呼吸消失,血压为零,脉搏消失,双侧瞳孔散大,直径为0.8cm,口唇面部发绀,颈部抵抗,心率35/min,心电图示室性自主节律。拟诊:(1)自发性蛛网膜下腔出血。(2)坏
Patient, Zhang, male, 20 years old, an infantry regiment warrior. Main sleepy: headache, vomiting, coma 30 minutes admitted. Normal physical health, no headache, vertigo history. Thirty minutes before meals and sudden joke in the joke with his comrades, followed by spray-like vomiting several times, coma, sent to our hospital. Physical examination: deep coma, spontaneous respiration disappeared, blood pressure was zero, pulse disappeared, bilateral mydriasis, diameter 0.8cm, lip facial cyanosis, neck resistance, heart rate 35 / min, ECG showed ventricular autonomic rhythm. Diagnosed: (1) spontaneous subarachnoid hemorrhage. (2) bad