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刘××,女性,30岁。病史:病人于24天前正常分娩,产后无发烧。13天前病人因精神刺激而发生抽搐,当时面色苍白,四肢强直,意识不清,无尿失禁,无舌咬伤,当地医生给病人针刺人中后好转。6天前病人开始出现剧烈头痛,主要在右侧太阳穴处明显,按之疼痛减轻,测血压为190/110毫米汞柱。病人当天晚上开始呕吐,呈喷射状,呕吐物为胃内容,并出现精神症状,表现为阵发性哭笑等精神症状及阵发性意识障碍。于入院前4日突然双目失明,并发生双下肢及右上肢瘫痪及尿潴留而被收入院。
Liu × ×, female, 30 years old. History: The patient gave birth normally 24 days before giving birth without fever. Thirteen days earlier, the patient developed convulsions due to mental stimulation. At that time, she was pale, her limbs were stiff, unconscious, had no incontinence, and had no tongue bites. The local doctor improved the acupuncture for patients. 6 days ago, the patient began to have severe headache, mainly in the right temple at the obvious, according to the pain relief, measuring blood pressure 190/110 mm Hg. The patient began to vomit the same night, was jet-like, vomit stomach content, and mental symptoms, manifested as paroxysmal depression and other mental symptoms and paroxysmal disturbance of consciousness. Suddenly both eyes were blinded on the 4th day before hospital admission, and paralysis of both lower extremities and right upper limbs and urinary retention occurred.