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患者,女,64岁。因神志不清、呕吐、尿失禁3小时于1990年8月24日急诊留观。患者入观前3小时,无何诱因突然神志不清,呕吐胃内容物数次伴尿失禁。无发热、头痛、抽搐等。既往有高血压病史,无冠心病史。入观体验:T36.5℃、R22次/分,P80次/分、BP24/12.66kPa,浅昏迷,鼾声呼吸,瞳孔等大约3.5mm,对光反应迟钝,双眼球向左侧凝视,右侧鼻唇沟变浅。颈软,HR80次/分,律齐、S_1有力,无 S_4,A_2>P_2,未闻及杂音。两肺呼吸音粗,腹(一)。右侧上下股肌力 O～I级,张力增高,Kernig 征(一),Babinski 征双侧(+)。入观时血糖11.1mmol/L,入观诊断:高血压性脑出血。予吸氧、20%甘露醇
Patient, female, 64 years old. Due to confusion, vomiting, urinary incontinence 3 hours in August 24, 1990 emergency visit. Patients into the view of 3 hours before, no incentive for sudden unconscious, vomiting stomach contents several times with urinary incontinence. No fever, headache, convulsions and so on. Past history of hypertension, no history of coronary heart disease. Into the experience: T36.5 ℃, R22 times / min, P80 beats / min, BP24 / 12.66kPa, shallow coma, snoring breathing, pupil about 3.5mm, slow reaction to light, binocular left staring, right Nasolabial fissure shallow. Neck soft, HR80 / min, law Qi, S_1 powerful, no S_4, A_2> P_2, no smell and noise. Breath sounds coarse lung, abdominal (a). O up and down the right side of the muscular force O ~ I level, increased tension, Kernig sign (a), Babinski sign both sides (+). Into the view of blood glucose 11.1mmol / L, into the concept of diagnosis: hypertensive intracerebral hemorrhage. To oxygen, 20% mannitol