1　病历摘要男患 ,76岁。高血压病史 30余年。以意识障碍 13小时入院。该患晨起后语言不清 ,随后昏睡 ,呼之不应 ,约 1小时后清醒 ,醒后回答问题准确。半小时后再次昏睡 ,持续 2小时后清醒 ,上述症状反复多次。无抽搐、尿便障碍及头痛、恶心、呕吐。查体 :嗜睡 ,呼唤可睁眼 ,并 1 medical record male suffering, 76 years old. Hypertension history of more than 30 years. Disorder to consciousness 13 hours admission. The morning after the onset of language is unclear, then lethargy, call should not be about awake after about 1 hour, wake up and answer the question accurate. Half an hour later drowsiness, wake up after 2 hours, the above symptoms repeatedly. No convulsions, urinary problems and headache, nausea, vomiting. Physical examination: lethargy, call can be open eyes, and