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例1,男性,53岁。因昏迷、抽搐5小时入院。入院前5小时家人发现患者呼之不应,继之全身抽搐,口吐白沫,四肢强直性痉挛,持续30秒左右自行缓解,约30分钟抽搐一次。无恶心、呕吐及大小便失禁。既往无类似发作史。入院查体:T37℃,P86次/分,R20次/分,Bp15.96/10.64kPa,昏迷,双瞳孔等大等圆约0.25cm,光反射灵敏,颈软,气管居中,心肺无异常,腹平软,肝脾肋下未扪及,双侧Kernig’s征(+)。诊断考虑
Example 1, male, 53 years old. Due to coma, convulsions 5 hours admission. 5 hours before admission, the patient found the patient should not call, followed by systemic convulsions, spit foam at the mouth, limbs tonic spasm, sustained about 30 seconds to ease themselves, about 30 minutes convulsions. No nausea, vomiting and incontinence. No previous history of similar attacks. Admission examination: T37 ℃, P86 times / min, R20 beats / min, Bp15.96 / 10.64kPa, coma, double pupil and other large round about 0.25cm, light reflection sensitive, soft neck, Abdomen soft, liver and spleen ribs palpable, bilateral Kernig’s sign (+). Diagnostic considerations