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患儿,男,11月,因“外伤后意识障碍5h,抽搐2次”入院。患儿于玩耍时跌倒摔伤枕部,哭闹数声后呼之不应,继之出现双眼上翻及四肢强直抖动,持续1+min缓解,1h后出现类似抽搐1次,发作间期意识模糊,不伴发热、呕吐。入院查体:体温、脉搏、呼吸正常。皮肤稍苍白,未见皮下出血低。外伤后4d复查头颅CT示:①前纵裂池、大脑镰旁、大脑大静脉池、窦汇、小脑幕上见条片状密度增高影,蛛网膜下腔出血可能性大;②双侧大脑半球脑实质密度降低,以右侧为显,右侧脑室体部较左侧小,脑中线结构稍向左移位。予
Children, male, November, because of “traumatic consciousness disorder 5h, convulsions 2 times ” admission. Children fall when playing fall occipital pillow, cry after the number should be called after crying, followed by eyes upturned and limbs tonic jitter, sustained 1 + min relief, 1 h after a similar convulsions, seizure awareness Blurred, without fever, vomiting. Admission examination: body temperature, pulse, breathing normally. Skin pale, no low subcutaneous hemorrhage. 4d after traumatic head CT review showed: ① anterior longitudinal fissure pool, falx next to the brain, large cerebral venous pool, sinus sink, tentorium see the sheet density increased film, the possibility of subarachnoid hemorrhage; ② bilateral brain The hemispheric brain densities were reduced to the right, the right ventricle was smaller than the left, and the midline structure shifted slightly to the left. Give