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1 病例报告患者女,65岁。因头痛、头晕、呕吐5天于1998—11—11入院。否认外伤史。检查:神志清楚,双侧瞳孔等大,对光反射存在,面瘫(—)。颈强++。右侧肢体肌力Ⅳ级,肌张力正常。双侧 Babinski 征阴性。头颅 CT 扫描:左额、颞、顶硬脑膜下有等密度及混合密度灶,中线结构向右移位。诊断:慢性硬脑膜下血肿。于翌日在强化局麻下行硬脑膜下血肿钻孔引流术,术中抽出“机油”状不凝血100 ml。术后4 h 神志恍惚,右侧肢
1 case report female patient, 65 years old. Due to headache, dizziness and vomiting, she was admitted to the hospital from 1998 to 11-11. Denied the history of trauma. Check: conscious, bilateral pupils, etc., presence of light reflexes, facial palsy (-). Strong neck +++. Right limb muscle strength class IV, muscle tension is normal. Bilateral Babinski sign negative. Skull CT scans: Equal density and mixed density lesions under the left frontal, temporal, and subdural dura mater, and the midline shift to the right. Diagnosis: Chronic subdural hematoma. In the following day, the drilling and drainage of subdural hematoma under local anesthesia was enhanced, and 100 ml of “oil” was not extracted during surgery. 4 hours after surgery, right knee