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病历摘要:刘某,男,28岁,住院号86038。1984年6月某日午夜小便时,突然头晕,眼花,下肢发软,随即晕倒在厕所,持续约1分钟。检查无异常发现。1986年3月8日晨起小便时又发作一次。6小时后头痛剧烈、恶心、呕吐、有谵妄、嗜睡,来院就诊。查体:面额皮肤损伤,前额部有5×5cm的血肿,左颞部有4×6cm大小的血肿,颈强直,眼底检查视网膜有片状出血,头颅正侧位片正常,心电图正常,脑电图双额、左顶导联慢波增多,腰穿为均匀血性脑脊液,红细胞100万/mm~3,压力侧卧位150mmH_2O,诊断为蛛网膜下腔出血。临床处理:止血敏4.0+10％葡萄糖500ml静脉滴注,20％甘露醇250ml静脉快速滴注,肌
Medical record summary: Liu, male, 28 years old, hospital number 86038. June 1984 one midnight on a day when a sudden dizzy, vertigo, lower limbs soft, then fainted in the toilet, lasted about 1 minute. No abnormalities found. On the morning of March 8, 1986, she started to attack again while urinating. 6 hours after a severe headache, nausea, vomiting, delirium, drowsiness, to the hospital. Physical examination: facial skin damage, a 5 × 5cm hematoma in the forehead, a 4 × 6cm hematoma in the left temporal region, ankylosis of the neck, a retinal hemorrhage in the fundus, a normal lateral skull, a normal electrocardiogram, Figure double the amount of left lead increased slow wave, lumbar puncture is uniform bloody cerebrospinal fluid, red blood cells 1 million / mm ~ 3, pressure side position 150mmH2O, diagnosis of subarachnoid hemorrhage. Clinical treatment: bleeding sensitivity 4.0 + 10% glucose 500ml intravenous drip, 20% mannitol 250ml intravenous infusion, muscle