低颅压综合征误诊1例分析

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1病历摘要患者男,39岁。因“持续性头痛伴呕吐5d”来院诊。5d前患者出现不明原因头部胀痛,呈持续性阵发性加剧,尤以站立行走时明显,平卧休息可缓解,恶心,呕吐(非喷射性),伴纳差,无发热、畏寒、咳嗽、心悸、视物旋转、四肢麻木等,在我院急诊科就诊,测血压为160/94mm Hg(1mm Hg=0 1 patient summary Male patient, 39 years old. Due to “persistent headache with vomiting 5d” to hospital. 5 days before the patient had unexplained head pain, was persistent paroxysmal aggravated, especially when standing and walking, lying to rest can ease, nausea, vomiting (non-jet), with poor appetite, no fever, chills , Cough, heart palpitations, visual rotation, numbness of the limbs, etc. In our emergency department, the blood pressure was measured at 160/94 mm Hg (1mm Hg = 0
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