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1临床资料患者,男性,43岁,以“刀砍伤后意识不清3h余”为主诉入院。患者在饮酒时被人用尖刀刺入头部,即刻意识不清,呕吐数次。两侧鼻孔有大量血性液体流出。体检：昏迷,双侧瞳孔等大,瞳孔直径4mm,直接及间接对光反射迟钝；双侧鼻孔有血性液体流出。尖刀由左侧额骨刺入,颅外仅见刀柄。疼痛刺激四肢屈曲反应,双侧Babinski征(-)。格拉斯哥昏迷评分(GCS)为7分。头颅
1 Clinical data Patients, male, 43 years old, with “knife unconsciousness 3h more than” mainly admitted to the hospital. Patients were stabbed into the head with a sharp knife while drinking, immediately unconsciously vomited several times. Nostrils on both sides of a large number of bloody fluid outflow. Physical examination: coma, bilateral pupils and other large, pupil diameter 4mm, direct and indirect light reflex slow; bilateral nostril bloody fluid outflow. A sharp knife pierced by the left frontal bone, the skull only saw the handle. Painful stimulation of limb flexion, bilateral Babinski sign (-). Glasgow Coma Scale (GCS) is 7 points. Skull