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患男,45岁,以呕暗红色血液5h主诉入院。10年前有乙肝病史,8年前诊断为肝硬化,2年前发现食管胃底静脉曲张。入院时神志清晰,问答切题。给予积极止血、输血等对症支持治疗,出血停止,病情平稳。最后诊断:肝炎后肝硬化(失代偿),食管胃底静脉曲张破裂出血。于出血停止后第5日,患者突然烦燥不安,继之失语,不能吞咽。查体:神志清晰,查体合作,不能言语,可用手势回答问题。不能吞咽,口角流涎。双侧瞳孔等大等圆,对
Male, 45 years old, vomit dark red blood 5h main admission. He had a history of hepatitis B 10 years ago, cirrhosis 8 years ago, and esophageal and gastric varices 2 years ago. Consciousness on admission, question and answer questions. To give positive hemostasis, blood transfusions and other symptomatic supportive treatment, bleeding stopped, the disease was stable. The final diagnosis: hepatitis cirrhosis (decompensation), esophageal varices bleeding. On the fifth day after the bleeding stopped, he suddenly became irritable, followed by aphasia, unable to swallow. Physical examination: conscious, physical examination, can not speak, gestures can be used to answer questions. Can not swallow, drooling. Big pupil and other bilateral round, right