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患者周××,62岁,突发性左眼眶胀痛一天,伴头痛、恶心与呕吐,呕吐物为胃内容物。无高热、抽搐及视力改变,四肢活动自如。1993年3月26日就诊。体温37.7℃,脉搏86次/分,心率齐,呼吸20次/分,血压22/14kPa。意识清、颈软,心肺检查正常。腹平软,肝脾肋下未触及。神经系统无阳性体征。拟诊“颅内压增高?”“高血压”收住内科。给予20％甘露醇、心痛定、西比灵、氯化钾等治疗,症状未缓解。头颅CT无异常,请眼科会
Patient × ×, 62 years old, sudden left orbital pain one day, with headache, nausea and vomiting, vomit for the stomach contents. No high fever, convulsions and visual changes, limbs freely. March 26, 1993 visit. Body temperature 37.7 ℃, pulse 86 beats / min, heart rate Qi, breathing 20 beats / min, blood pressure 22 / 14kPa. Consciousness, neck soft, normal cardiopulmonary examination. Abdomen soft, liver and spleen ribs untouched. Nervous system no positive signs. The proposed diagnosis of “increased intracranial pressure?” “Hypertension” admitted to medicine. Given 20% mannitol, nifedipine, xibingling, potassium chloride and other treatment, the symptoms did not ease. No abnormal skull CT, ophthalmology will be