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患者26岁,已婚,住院号5772。因停经3月余伴头痛及剧吐10多小时,于1984年4月17日入院。患者末次月经1984年1月3日,预产期10月10日。病者入院前因呕吐用力头向后仰,觉剧烈头痛及喷射状呕吐多次。病后10多小时来我院妇产科门诊急诊,拟为妊娠呕吐收入妇科病房治疗。用过镇静剂、葡萄糖、维生素C及补液1000ml,病情反而加重。病者头痛剧烈,频频呕吐,神志不清,乱语,颈硬,克匿氏征阳性,左侧上下肢肌力降低。邀请神经内科会诊,作腰穿,发现脑脊液血性,压力偏高,确诊为妊娠3月余合并蛛网膜下腔出血。病情危重,转神经内科治疗。采用镇静、止血、利尿、脱水、预防感染及支持疗法等治疗措施,经3周积极抢救,病情逐渐好转。病情稳定后进行CT及脑血管造影检查,进一步确定
Patient 26 years old, married, hospital number 5772. Due to menopause in March with more than 10 hours headache and vomiting, admitted to April 17, 1984. The last menstrual period on January 3, 1984, the expected date of October 10. Patient admitted to the hospital because of vomiting force head back, feel severe headache and jet-like vomiting many times. More than 10 hours after the illness came to our hospital obstetrics and gynecology outpatient emergency, intended for pregnancy vomiting income gynecological ward treatment. Used sedatives, glucose, vitamin C and rehydration 1000ml, the condition worsened. Patients with severe headache, frequent vomiting, confusion, gossip, neck stiffness, Ke Hidden positive signs of left lower extremity muscle strength decreased. Invited neurology consultation for lumbar puncture and found cerebrospinal fluid bloody, high pressure, diagnosed with pregnancy in March more than subarachnoid hemorrhage. Serious illness, neurological medical treatment. Sedation, hemostasis, diuretic, dehydration, prevention of infection and supportive therapies and other treatment measures, after 3 weeks of active rescue, the condition gradually improved. Stable after CT and cerebral angiography, further determination