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患者男,48岁。以后枕部剧痛一天,呕吐一次,于1992年11月2日入院。入院前一天夜里突然出现后枕部剧痛,有博动感,呈持继性阵发性加剧,伴呕吐一次,非喷射性。查体除右眼外展不全,颈部稍有低抗外无其他阳性体征。腰穿脑脊液呈淡红色,测压240mmH_2O柱。潘氏试验阳性,CT 诊断广泛性蛛网膜下腔出血,临床考虑后交通动脉血管瘤,申请全脑血管造影检查。患者于1992年12月30日下午作数字减影全脑血管造影术,经右股动脉穿刺,用7号单弯导管和导管鞘作选择性左椎动脉和左颈总动脉造影,造影成功后在导管退至主动脉弓部位时,即发现有断裂现象,但尚有一丝相连,随令其速退出导管,当导管退至腹主动脉第
Male patient, 48 years old. Occipital occipital pain day, vomiting once, on November 2, 1992 admission. The night before the hospital suddenly appeared after the night occipital pain, a sense of play, was sustained after paroxysmal aggravating, with vomiting once, non-jet sex. In addition to physical examination of right eye outreach, neck slightly lower anti-no other positive signs. Lumbar cerebrospinal fluid was pale red, pressure measurement 240mmH_2O column. Pan test positive, CT diagnosis of extensive subarachnoid hemorrhage, clinical arterial hemangioma after traffic, apply for cerebral angiography. Patients in the afternoon of December 30, 1992 for digital subtraction whole cerebral angiography, the right femoral artery puncture, with a single curved catheter 7 and catheter sheath for the left common carotid artery and left common angiography, angiography after the success of Rupture of the catheter in the aortic arch site, that is found to have broken, but there is still a trace, with the speed of withdrawal from the catheter, when the catheter back to the abdominal aorta