以突发意识障碍伴休克就诊,随后并发急性左心衰竭为主要临床表现的自发性蛛网膜下腔出血(SAH)1例分析如下。1病历摘要女,42岁。因突发意识不清0.5 h入院。入院时持续性四肢抽搐,频繁呕吐胃内容物。既往无高血压及心脏病史。查体:血压测不到,P 80次/min,R 24次/min,T 36.5℃,浅 One case of spontaneous subarachnoid hemorrhage (SAH) with sudden disturbance of consciousness and shock treatment followed by acute left heart failure as the main clinical manifestation is analyzed as follows. 1 medical record summary female, 42 years old. Due to sudden unconsciousness 0.5 h admission. Persistent limbs twitching on admission, vomiting stomach contents. No previous history of hypertension and heart disease. Physical examination: blood pressure can not be measured, P 80 times / min, R 24 times / min, T 36.5 ℃, light