病历摘要患者37岁,女性。入院前2个月于活动中突发剧烈头痛伴呕吐,30分钟后昏迷.腰椎穿刺为血性脑脊液,诊断为蛛网膜下腔出血。16天后,病人神志转清,自觉右眼视物模糊。后经左颈动脉造影证实为前交通动脉肿瘤。眼科会诊右眼为玻璃体出血,经用药物治疗,无明显改善。前交通动脉瘤经直接手术夹闭后治愈出院。 Summary of patient history Patient 37 years old, female. Two months prior to admission, sudden severe headache accompanied with vomiting during the activity and coma 30 minutes later, lumbar puncture was bloody cerebrospinal fluid, and subarachnoid hemorrhage was diagnosed. 16 days later, the patient consciousness clear, conscious right eye blurred vision. After the left carotid artery angiography confirmed as anterior communicating artery tumor. Eye consultation for the right eye vitreous hemorrhage, treated with drugs, no significant improvement. Anterior communicating aneurysms were cured after direct surgical clipping.