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男患、40岁,因生气后突然剧烈头痛,一过性意识不清、反复呕吐两天来诊。检查:血压130/80mmHg、脉博72次/分、呼吸18次/分,意识清楚、语言流利。内科系统检查未见异常。瞳孔等大同圆、对光反应良好、眼球运动不受限,面肌对称,挺舌居中,软腭对称、运动良好、咽反射双侧均存在。四肢肌力Ⅴ级、肌张力正常,深浅感觉对称,生理反射正常,病理反射阴性。颈强、Kernig氏征阳性。腰椎穿刺脑脊液一致血性、压力190mmH_2O。病后第七天做头部CT扫描,显示右侧侧脑室内充
Male suffering, 40 years old, due to sudden severe headache after anger, transient unconsciousness, repeated vomiting for two days. Check: blood pressure 130 / 80mmHg, Pulse Bo 72 times / min, breathing 18 beats / min, a clear sense of, fluent language. Internal medical examination showed no abnormalities. Pupils and other Datong circle, good response to light, eye movement is not limited, facial muscle symmetry, tongue Tingzhong, soft palate symmetry, good movement, both sides of the pharyngeal reflex exist. Grade Ⅴ limb muscle strength, muscle tone normal, the sense of depth and symmetry, normal physiological reflex, pathological reflex negative. Neck strong, Kernig’s sign positive. Lumbar puncture cerebrospinal fluid consistent bloody, pressure 190mmH_2O. On the seventh day after the disease head CT scan showed that the right lateral ventricle filling