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赵××,女,45岁,教师。因头痛、呕吐三天,意识不清一天,于1989年3月9日入院。入院前三天患者无明显诱因出现头晕、头痛,以后枕部为著,但仍能坚持上班。次日头痛加重,伴恶心、呕吐。对症治疗不缓解。第三天早晨患者自觉头痛较剧,困倦没起床,晚上家人回来时发现患者躺在床上,意识不清,身边有许多呕吐物。急诊入宽城区医院,诊断不明,转入我院。既往健康。服用短效口服避孕药(复方18甲)一年半。体检:37.4℃,BP100/80mmHg,内科检查无明显异常。浅昏迷,压眶呈去脑强直状态。左侧瞳孔略大于右侧(左5.0mm,
Zhao × ×, female, 45 years old, teacher. Due to a headache, vomiting for three days, confusion day, March 9, 1989 admission. Three days before admission, no obvious incentive for patients with dizziness, headache, after the occipital for, but still able to work. Increased headache the next day, with nausea and vomiting. Symptomatic treatment does not ease. The third morning the patient felt more headache than drama, drowsiness did not get up at night when the family came back and found the patient lying in bed, unconscious, there are many vomit. Emergency into Kuancheng Hospital, diagnosis is unknown, transferred to our hospital. Past health. Take short-acting oral contraceptives (18 A compound) a year and a half. Physical examination: 37.4 ℃, BP100 / 80mmHg, no significant abnormal medical examination. Shallow coma, pressure orbital to degenerative brain state. Left pupil slightly larger than the right (left 5.0mm,