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患者男,48岁,突发头痛、呕吐1周,既往有高血压病史。体格检查:血压195/90 mmHg,神志清楚,表情痛苦,颈部抵抗强阳性。头颅CT显示右颞顶部出血,破入脑室。腰穿脑脊液呈浅红色,微浊,压力22.9 mmHg。肝肾功能及电解质正常。入院后给予降颅压、降血压和支持治疗,按正常需要量补充电解质,并腰穿放出血性脑脊液。1周后
Male patient, 48 years old, had a sudden headache and vomiting for a week with a history of hypertension. Physical examination: blood pressure 195/90 mmHg, conscious, facial expression pain, neck strong positive resistance. Head CT showed the right temporal hemorrhage, broken into the ventricle. Waist wear cerebrospinal fluid was light red, slightly cloudy, pressure 22.9 mmHg. Liver and kidney function and electrolyte normal. After admission to give intracranial pressure, blood pressure and supportive treatment, according to the normal need to add electrolyte, and lumbar puncture put hemorrhagic cerebrospinal fluid. 1 week later