1病历摘要女,61岁。以昏迷2 h为主诉于5:00急诊来院就诊。来院途中抽搐1次。在急诊科行头颅CT检查未见异常,以昏迷待查、脑出血收住我科。查体:BP 18/11 kPa,体形肥胖,呼吸急促,呈深昏迷,双侧瞳孔等大等圆,直径约3.5 mm,对光反应迟钝,膝腱反射引不出,肌张力减退,双侧巴氏征(+) 1 medical record summary female, 61 years old. To coma 2 h mainly complained of 5:00 emergency visit to hospital. Tweeted on the way to the hospital 1 times. In the emergency department head CT examination no abnormalities, to coma pending investigation, cerebral hemorrhage admitted to our department. Physical examination: BP 18/11 kPa, body fat, shortness of breath, deep coma, bilateral pupils and other large round, diameter of about 3.5 mm, slow response to light, knee tendon reflex can not lead to muscle hypotonia, bilateral Pakistan sign (+)