患者,女,59岁,因“突发意识丧失4h”于2013-12-06就诊我院。4h前家属发现患者呼之不应,伴有胡言乱语,肢体抽搐。体检:体温36.8℃,血压140/70mmHg(1mmHg=0.133kPa),心率112次/min,呼吸21次/min。昏迷,刺激有反应,双侧瞳孔等大,直径4mm,对光反射迟钝,双肺呼吸音清,心律齐,未及杂音。腹软,肝脾肋下未及,双下肢不肿,双侧病理征未引出。既往直肠癌,骨 Patients, female, 59 years old, due to “sudden loss of consciousness 4h ” in 2013-12-06 visit our hospital. 4h ago, the family members found that patients should not call, accompanied by nonsense, limb twitching. Physical examination: body temperature 36.8 ℃, blood pressure 140 / 70mmHg (1mmHg = 0.133kPa), heart rate 112 beats / min, breathing 21 beats / min. Coma, stimulus response, bilateral pupils and other large, diameter 4mm, slow light reflex, lung breath sounds clear, heart Qi Qi, not yet noise. Abdomen soft, liver and spleen and ribs did not, double lower extremity is not swollen, bilateral pathological signs did not lead. Past rectal cancer, bone