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1案例资料1.1简要案情及临床经过某男,50岁。2013年10月31日因纠纷被人用铁钎击打前额,当时有短暂昏迷。入院查体:血压104/71mm Hg,嗜睡,GCS评分9分,颅神经征检查为阴性,额部两处挫裂伤口均长约3cm(已缝合)。当日头颅CT示:额叶广泛性脑挫裂伤,蛛网膜下腔出血,额骨开放性凹陷性骨折,额窦筛板骨折,左眼眶内侧壁骨折,颅内积气(图1);同年11月7日复查头颅
1 case data 1.1 brief case and clinical after a man, 50 years old. On October 31, 2013, he was hit with a soldering iron on his forehead for a dispute, and there was a short coma at the time. Admission examination: blood pressure 104 / 71mm Hg, drowsiness, GCS score of 9 points, negative cranial neurological examination, both forehead bruise wounds were about 3cm (sutured). Head CT showed the day: extensive frontal lobe contusion, subarachnoid hemorrhage, frontal open hollow fracture, frontal fringe fracture, left orbital wall fracture, intracranial gas (Figure 1); the same year November 7 review skull