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患者男,62岁,农民,因体位性头痛,伴恶心20余天入院。近20余天来患者坐位及立位时感头痛,前额部明显,伴恶心、头昏,无视物旋转感,平卧时症状消失。病前无外伤及劳累,病后无抽搐。睡眠及饮食无变化。半年前曾类似发作1次,1周后自行缓解。病前急躁易怒,情绪不稳。查体:T36.5C,P72次/分,BP14/9kPa,神志清,瞳孔1.5mm,等大等圆,眼底(-),四肢运动感觉均正常,睫反射存在,双侧戈登征(+)。
Male patient, 62 years old, farmer, because of positional headache, with nausea more than 20 days admitted to hospital. Nearly 20 days to the patient sitting and standing headache, the forehead was obvious, with nausea, dizziness, ignoring the sense of rotation, symptoms disappeared when supine. No injuries and fatigue before illness, no convulsions after the illness. No change in sleep and diet. A seizure occurred six months ago, a week after relieving itself. Premature sickness irritability, emotional instability. Physical examination: T36.5C, P72 beats / min, BP14 / 9kPa, conscious mind, the pupil 1.5mm, and other large round, fundus (-), limb movements were normal, ).