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男,23岁,因车祸致头部外伤,意识不清1h,于1985年5月3日入院。以往无癫痫史。体检:神志模糊,欠合作,眼球固定,瞳孔0.2cm。颈软,心肺(-),腹软,肝脾均未触及。腹壁反射及提睾反射均较弱,无明显定位体征,CT检查右侧颞顶部硬膜外血肿,立即作开颅探查,清除硬膜外血肿约120ml,术后1周神志转清。同年5月11日因反复出现癫痫样发作,口服苯妥因钠0.1g 3/d,
Male, 23 years old, headache due to car accident, unconsciousness 1h, was admitted on May 3, 1985. No previous history of epilepsy. Physical examination: Ambiguity, owed cooperation, fixation, pupil 0.2cm. Neck soft, cardiopulmonary (-), abdominal soft, liver and spleen are not touched. Abdominal reflex and cremasteric reflex were weaker, no obvious signs of positioning, CT examination of the right temporal epidural hematoma, immediate exploration of the craniotomy, removal of epidural hematoma about 120ml, 1 weeks after surgery consciousness clear. May 11 the same year because of recurrent epileptic seizures, oral phenytoin 0.1g 3 / d,