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临床资料患者女性,63岁,住院号84399。突然昏倒,胡言乱语一天住院。平时身体健康,否认高血压病及心脏病史。体检:血压21.3/14.6kPa,神志恍惚,双侧瞳孔等大等圆,光反射存在,口角无歪斜,颈抵抗明显。双肺呼吸音清晰,心率80次/分,律齐。腹部平软,肝脾未触及。四肢肌力正常。克氏征(+),巴氏征(+)。腰穿,脑脊液压力较高,流出均匀血性脑脊液。脑脊液:血性,潘氏试验(+),红细胞10.5×10~9/L,白细胞16×10~6/L,氯化物135mmol/L,糖>2.75mmol/L,蛋白0.34g/L,心电图提示:T波Ⅱ、Ⅲ、aVF、V_(3-5)宽大倒置、
Clinical data Patients Female, 63 years old, hospital number 84399. Suddenly collapsed, nonsense hospitalized one day. Usually healthy, denied hypertension and heart disease history. Physical examination: blood pressure 21.3 / 14.6kPa, trance, bilateral pupil and other large round, light reflex exists, no skew angle, neck resistance significantly. Breath sounds clear lungs, heart rate 80 beats / min, law Qi. Abdomen soft, liver and spleen not touched. Limb muscle strength is normal. Kirschner Sign (+), Pakistan’s sign (+). Waist wear, high cerebrospinal fluid pressure, out of uniform bloody cerebrospinal fluid. Cerebrospinal fluid: bloody, Pan test (+), erythrocytes 10.5 × 10 ~ 9 / L, white blood cells 16 × 10 ~ 6 / L, chloride 135mmol / L, sugar> 2.75mmol / L, protein 0.34g / L, ECG tips : T wave Ⅱ, Ⅲ, aVF, V_ (3-5) large inverted,