1 病情简要患者,男,87岁。意识丧失5 h 于7:30就诊。既往有高血压史,皮层下动脉硬化性脑病,前列腺增生等病史。体检:T 36.1℃,P 105/min,R 20次/min,BP 188/128mmHg,消瘦面容,浅昏迷状态,双侧瞳孔等大等圆,直径约2.0 mm,对光反射迟钝,心肺腹无明显异常。急诊行头颅 CT 检查,抽血检查生化、血常规、凝血4项等。8:00头颅 CT 结果提示:“皮层下动脉硬化性脑病,双侧放射冠缺血性改变”;同时血常规 A brief patient, male, 87 years old. Loss of consciousness for 5 h at 7:30. Past history of hypertension, subcortical arteriosclerotic encephalopathy, benign prostatic hyperplasia and other medical history. Physical examination: T 36.1 ℃, P 105 / min, R 20 times / min, BP 188 / 128mmHg, wasting face, shallow coma, bilateral pupil and other large round, diameter of about 2.0 mm, slow to light reflex, Obvious abnormalities. Emergency line head CT examination, blood tests biochemical, blood, coagulation and other 4 items. 8:00 head CT results suggest that: “subcortical arteriosclerotic encephalopathy, bilateral radiation crown ischemic changes ”; while blood routine