一、反复头痛昏迷发作两次——脑蛛网膜下腔出血本例为61岁的老年妇女,突然剧烈头痛起病,昏迷发作两次,相继出现右侧肢体偏瘫,上消化道出血,25天后死亡。首次发病红排便用力时,突然头部剧痛、伴呕吐,10分钟后陷入昏迷。相隔半月再次深昏迷,次日腰穿发现脑脊液呈橘红色,红细胞数约2300个/立方毫米,部分为皱缩的红细胞,离心后的脑脊液呈黄色,说明不但近期(1～2天)内有出血,而且在不久以前也曾有过出血发作,证实了间隔半月的两次昏迷为蛛网 First, repeated headache coma episode twice - brain subarachnoid hemorrhage This case is a 61-year-old woman, sudden severe headache onset, coma attack twice, one after another appeared on the right hemiplegia, upper gastrointestinal bleeding, 25 days later death. The first time the incidence of red bowel movements, the sudden head pain, with vomiting, 10 minutes into a coma. After another half of dark deep unconscious, the next day found that the cerebrospinal fluid was orange-red, red blood cells about 2300 / cubic mm, part of the shrinkage of red blood cells, after centrifugation of the cerebrospinal fluid was yellow, indicating that not only the recent (1 to 2 days) within Bleeding, but also in a long time ago had had a bleeding episode, confirmed that two coma at intervals of half a cobweb