1临床资料患者女,63岁,因头痛1周,意识障碍1d于2012年12月23日入院。患者于入院前1周感头痛(具体不详),未诊治。入院前1d用力后头痛加剧,继之意识不清、四肢僵直、大小便失禁,随后出现恶心、呕吐,于当地医院行CT检查提示蛛网膜下腔出血,予以“降颅内压、止血、补液”等处理1d,意识障碍进行性加重而转入我院。既往有甲 1 Clinical data Female patient, 63 years old, 1 week due to headache, consciousness 1d on December 23, 2012 admission. Patients with headache 1 week before admission (specific unknown), not diagnosed. 1d before admission, headache increased after the force, followed by unconsciousness, limb stiffness, incontinence, followed by nausea and vomiting, at the local hospital CT examination prompted subarachnoid hemorrhage, to “intracranial pressure, bleeding, Rehydration ”and other treatment 1d, progressive disturbance of consciousness and transferred to our hospital. A past