论文部分内容阅读
患者女性,50岁,既往患高血压,动脉硬化,风心病。82年2月4日晚饭中突然感到头晕,随即倒地不省人事,嘴歪,吐白沫,二便失禁。经某医院抢救24小时不见好转、诊断脑干出血转入我院。查体:体温37,0℃,血压180/120mmHg、脉搏102次/分,呼吸浅表不规则。深昏迷,压眶无反应,项强(++)。双瞳孔缩小(1.5mm),对光反应差,无眼震。右上下肢完全偏瘫,肌张力高,腱反射亢进,右Hoffmann征阳性,Babinski征阳性、Chadock征阳性,踝震挛阳性。腰穿血性脑脊液,压力240mmH_2O,镜下红细胞部分萎缩。
Female patient, 50 years old, formerly suffering from hypertension, arteriosclerosis, rheumatic heart disease. February 4, 1982 Suddenly felt dizzy in dinner, then fell unconscious, mouth crooked, spit foam, second incontinence. After a 24-hour hospital rescue did not improve, diagnosis of brainstem hemorrhage transferred to our hospital. Physical examination: body temperature 37,0 ℃, blood pressure 180 / 120mmHg, pulse 102 beats / min, shallow breathing irregular. Deep coma, pressure orbital reaction, Xiang Qiang (++). Double pupil narrow (1.5mm), poor response to light, no nystagmus. Upper right and lower extremity complete hemiplegia, high muscle tone, tendon hyperreflexia, right Hoffmann sign positive, Babinski sign positive, Chadock sign positive, ankle seizure positive. Waist transfusion cerebrospinal fluid, pressure 240mmH_2O, atrophy microscopic red blood cells.