头痛是急诊极为常见的症状,颅内颅外病变以及全身性疾病均可伴有头痛。临床上大多数头痛无特异性,而且经过良好。但某些头痛则是严重疾病的信号。年轻患者,剧烈头痛伴血性脑脊液,诊断蛛网膜下腔出血并不困难,然而蛛网膜下腔出血的原因与心脏杂音的联系值得探讨。病例报告女,22岁,农民,住院号279900。主诉头痛8天就诊。患者就诊前8天在活动中突然出现 Headache is a very common emergency symptoms, intracranial extracranial lesions and systemic diseases can be associated with headache. Most clinical headache is nonspecific, and well after. However, some headaches are a sign of serious illness. Young patients, severe headache with bloody cerebrospinal fluid, the diagnosis of subarachnoid hemorrhage is not difficult, but the causes of subarachnoid hemorrhage and cardiac murmur is worth exploring. Case report Female, 22 years old, farmer, hospital number 279900. Headache 8 days treatment. 8 days before the patient suddenly appeared in the activity