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患者:女性,43岁。因头痛、意识障碍1小时,于1992年12月6日入院。入院前1小时正在活动时突感剧裂头痛,约10分钟后意识不清,伴喷射性呕吐,小便失禁,肢体活动功能障碍。既往高血病史二年,无冠心病吏。查体:T37.6C,P 100次/分,R 26次/分,BP 24/16kPa。中度昏迷状态,呼吸不规则,对外界刺激无反应,角膜反射消失,两侧瞳孔等大等圆,直径约2mm,对光反射消失,右眼外展,视网膜片状出血,颈强阳性,双肺痰鸣音,律整,心率100次/分,肝睥不大,四肢肌张力增高,无自主运动,双侧膝腱反射减弱,有侧上下肌力0级,巴氏征阳性,克氏征
Patient: Female, 43 years old. Due to headache, disturbance of consciousness 1 hour, on December 6, 1992 admission. 1 hour before admission, the sudden onset of acute headache, about 10 minutes after unconsciousness, with jet vomiting, incontinence, physical activity disorders. Past history of high blood two years, no coronary heart disease officials. Physical examination: T37.6C, P 100 beats / min, R 26 beats / min, BP 24 / 16kPa. Moderate coma, irregular breathing, no response to external stimuli, disappearance of corneal reflex, bilateral pupils and other large round, diameter of about 2mm, the disappearance of light reflex, right eye abduction, retinal hemorrhage, strong neck, Pulmonary phlegm sound, law, the heart rate 100 beats / min, liver is not large, limb muscle tension increased, no involuntary movement, bilateral knee tendon reflexes, side up and down muscle strength 0, Pakistan sign positive, g ’S sign