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女患,71岁,住院号12731。摔倒后意识不清,左偏瘫7小时,于86年7月20日入院。无高血压病史。查体:意识不清,左鼻唇沟线、肌张力增高、肌力0级、巴彬斯基氏征(+)。心肺无异常。白细胞5000,中性82%,淋巴18%,血小板9.2万。脑脊液压力180mmH_2O,均匀一致粉红色,蛋白400mg%。CT扫描:右侧基底节区大片状高密度,周边低密度围绕,脑室受压移位明显。诊断:脑右基底节出血。给予25%甘露醇250ml6小时一次快速
Female patient, 71 years old, hospital number 12731. After falling unconsciousness, left hemiplegia 7 hours, on July 20, 86 admitted. No history of hypertension. Examination: Consciousness, left nasolabial fold line, increased muscle tone, muscle strength 0, Babinski’s sign (+). No abnormal heart and lung. White blood cells 5000, 82% of neutral, lymphatic 18%, 92,000 platelets. Cerebrospinal fluid pressure 180mmH_2O, uniform pink, protein 400mg%. CT scan: large right-sided basal ganglia-like high-density, around the low-density around the ventricular pressure shift significantly. Diagnosis: Right basal ganglia hemorrhage. Give 25% mannitol 250ml once every 6 hours