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患者女,32岁。主因头痛、头昏、头晕4个月。加重伴恶心呕吐感6天,于1995年6月12日入院。头痛以前额及双侧太阳穴为主,多呈胀痛或闷痛,为进行性加重,应用止痛剂能缓解头痛。查体T36.8℃,P70次/分,R17次/分,BP95/60mmHg(12.54/8kPa)。双侧瞳孔等大正园,眼底提示视网膜乳头模糊,视力降低,皮肤粘膜无出血点,浅表淋巴结无肿大,心肺(-),腹部平软,肝脾未触及,全腹无压痛和反跳痛,膝反射亢进,克隆格氏征弱阳性。血常规提示:白细胞4.0×10~9/L,中性50％,淋巴
Female patient, 32 years old. The main cause of headache, dizziness, dizziness 4 months. Aggravated with nausea and vomiting for 6 days, on June 12, 1995 admission. Headache and both sides of the temple on the forehead, mostly painful or tenderness, progressive increase, the use of painkillers can relieve headaches. Physical examination T36.8 ℃, P70 beats / min, R17 beats / min, BP95 / 60mmHg (12.54 / 8kPa). Bilateral pupils and other large Park, fundus tips retina nipple fuzzy, decreased visual acuity, no bleeding skin mucosa, superficial lymph nodes without swelling, cardiopulmonary (-), abdomen flat soft, liver and spleen not touched, the whole abdomen without tenderness and rebound Pain, knee hyperactivity, Clone’s syndrome weakly positive. Routine blood: white blood cells 4.0 × 10 ~ 9 / L, 50% neutral, lymph