论文部分内容阅读
女患,方××,5岁,住院号28168。因头部外伤20~+天,昏迷1天入院。20~+天前患孩从高约50cm处跌倒,撞及左侧头部,伤后一直无意识障碍,无头痛、呕吐及抽搐,食欲如常,未予重视,近10天来精神疲,食欲差,左颞颧部有一肿块并逐渐增大,入院前1天开始出现昏睡、呕吐,但无抽搐,经头颅CT检查示颅内占位病变而收入院。入院查体:呈浅昏迷,格拉斯哥(GCS)评分7分,对痛刺激有定位,全身浅表淋巴结未及,双瞳孔散大,约5mm,对光反射消失,左颞颧部有一肿块约10×8cm,表面静脉充盈,左眼球突出,结膜充
Female suffering, side × ×, 5 years old, hospitalization 28168. Due to head trauma 20 ~ + days, coma 1 day admission. 20 ~ + days before the child fell from the height of about 50cm, hit the left side of the head, has been unconscious injury, no headache, vomiting and convulsions, loss of appetite as usual, not taken seriously, the past 10 days mental fatigue, poor appetite , A left lumbar temporal zygomatic lumps and gradually increased, 1 day before admission began to appear drowsiness, vomiting, but no convulsions, showed skull CT examination of intracranial space lesions and admission to hospital. Admission examination: a shallow coma, Glasgow (GCS) score of 7 points, the location of pain stimulation, systemic superficial lymph nodes, double mydriasis, about 5mm, the light reflex disappeared, the left temporal zygomatic part has a mass of about 10 × 8cm, surface venous filling, left eyeball prominent, conjunctival filling