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1 病史例1:女,80岁。因呕吐、腹胀2天入院。2天前中餐进食荠菜煮鸡蛋1枚,当天下午5时突起频繁恶心、呕吐、非喷射性,吐出食物残渣,并感上腹饱胀,无腹泻。无头痛。体查:体温、脉搏、呼吸正常,血压22.7/12kPa.神志清楚,瞳孔正常,颈软,心界左下扩大,肺、腹部正常。四肢肌力、肌张力正常,克、布、巴氏征阴性。心电网正常。入院诊断:急性胃炎,高血压病(Ⅱ期)。按急性胃炎治疗,仍呕吐不止。翌晨2时出现意识障碍,尿失禁,查颈项有抵抗感,克氏征阳性,腰穿获一致性淡红色脑脊液。按蛛网膜下腔出血治疗,病情逐渐缓解,治愈出院。
A history of cases 1: Female, 80 years old. Due to vomiting, abdominal distension 2 days admitted. 2 days ago, Chinese food, shepherd’s purse boiled eggs 1, the same day at 5:00 pm frequent nausea, vomiting, non-jet sex, spit food residue, and sense of abdominal fullness, no diarrhea. No headache. Physical examination: body temperature, pulse, breathing is normal, blood pressure 22.7 / 12kPa. Consciousness, normal pupil, soft neck, lower left heart to expand, lung, abdomen normal. Limb muscle strength, muscle tone normal, grams, cloth, Pakistan’s negative sign. ECG normal. Admission diagnosis: acute gastritis, hypertension (Ⅱ). According to the treatment of acute gastritis, still vomiting more than. The next morning 2:00 disturbance of consciousness, urinary incontinence, check neck resistance, Kirschner sign positive, lumbar puncture consistent pinkish cerebrospinal fluid. By subarachnoid hemorrhage treatment, the condition gradually eased, cured and discharged.