论文部分内容阅读
例1 男,65岁。住院号:141877。于1988年1月3日入院。自诉7天前开始不明原因持续头部胀痛,伴右侧肢体麻木,继而活动不便。无剧烈头痛呕吐,无昏迷抽搐。两个月前有轻度头外伤史(无昏迷)。平素健康.查体:神清,颈软,语言流利,血压17.3/10.7kPa,心肺、眼底正常,额纹对称,右侧鼻唇沟浅,右上下肢肌力3～4级,病理征阴性;腰穿滴速不快.予静滴复方丹参,口服潘生丁、维脑路通等药物.3天后头痛减轻,右上下肢肌力上升为4级。一周后行CT检查确诊为左额颞顶硬脑膜下血肿,经钻孔引流出酱油色陈旧血液80ml。此后,症状体征消失,术后21天痊愈出院。
Example 1 male, 65 years old. Hospital number: 141877. Admitted to hospital on January 3, 1988. 7 days before the private prosecution began unexplained head pain, numbness with the right limb, followed by activity inconvenience. No severe headache and vomiting, no coma. A mild head injury two months ago (no coma). Physical examination: Shenqing, soft neck, fluent language, blood pressure 17.3 / 10.7kPa, cardiopulmonary, fundus normal, forehead symmetry, the right nasolabial fold shallow, right upper and lower limb muscle strength 3 to 4, pathological signs negative; Lumbar drip speed unpleasant. To intravenous compound Salvia, oral dipyridamole, Venoruton and other drugs .3 days after the headache reduced, upper right and lower limb muscle strength increased to 4. One week later, a CT scan was performed to confirm the left frontotemporal subdural hematoma. After passing through the hole, 80 ml of soy sauce-colored old blood was drained. Since then, symptoms and signs disappeared, 21 days after surgery cured.