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例1,女,60岁,工人。因眩晕伴恶心、呕吐2天入院。入院前2天突发性眩晕,视物旋转,恶心,非喷射性呕吐10余次,耳鸣、头胀满。无头痛、发热。既往动脉硬化病史10年。体检:体温37℃,脉搏80次/分,呼吸20次/分,血压16/10kPa。神志清楚,精神差,言语正常。双侧瞳孔等大等圆,眼球水平震颤。颈无抵抗感。四肢肌力及肌张力正常。病理反射未引出。突验室检查:Hb120g/L,WBC9.8×10~9/L,N0.70,L0.30,肝功、血糖、心电图正常。诊断:梅尼埃病(旧称美尼尔病)。给调节植物神经、抗晕动、扩血管等综合治疗,症状无好转。3天后出现颈部抵抗感。急查脑CT:左侧小脑半球出血并破入第四脑室。行
Example 1, female, 60 years old, worker. Due to dizziness with nausea, vomiting 2 days admitted to hospital. 2 days before admission sudden dizziness, depending on the material rotation, nausea, non-jet vomiting more than 10 times, tinnitus, head fullness. No headache, fever. Previous history of atherosclerosis 10 years. Physical examination: body temperature 37 ℃, pulse 80 beats / min, breathing 20 beats / min, blood pressure 16 / 10kPa. Conscious, poor spirit, normal speech. Big pupils and other bilateral round, eye tremor level. Neck no sense of resistance. Limb muscle strength and muscle tone normal. Pathological reflex did not lead. Laboratory examination: Hb120g / L, WBC9.8 × 10 ~ 9 / L, N0.70, L0.30, liver function, blood glucose, ECG normal. Diagnosis: Meniere’s disease (formerly known as Meniere’s disease). To adjust the autonomic, anti-motion sickness, vasodilator and other comprehensive treatment, no improvement in symptoms. Neck sensation after 3 days. Emergency brain CT: left hemisphere cerebellar hemorrhage and break into the fourth ventricle. Row